| NPI | 1477568079 |
|---|---|
| Doing Business As | LENOX TERRACE DRUG STORE INC |
| Entity Type | Organization |
| Authorized Contact | BRAHMAJI VALIVETZ President 212-234-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025372) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-08-31 |