| NPI | 1396750907 |
|---|---|
| Doing Business As | LYDIG AVENUE PHARMACY CORP |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD ABID JAVAID Pharmacist 718-678-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 026027) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-08-19 |