| NPI | 1649655044 |
|---|---|
| Doing Business As | LIGHT PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | SVETLANA KANAEVA President 718-872-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033784) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2016-01-06 |