| NPI | 1336521988 |
|---|---|
| Doing Business As | LIVONIA PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | IMRAN SIDDIQUI President,Owner,AO 718-484-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033614) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2017-03-10 |