| NPI | 1245699644 |
|---|---|
| Other Name | LAVIDA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHIVAKUMAR PINNOJU Pharmacy Manager / Pharmacist 718-426-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034371) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-10-06 |