| NPI | 1881128569 |
|---|---|
| Doing Business As | LACONIA AVENUE PHARMACY CORP |
| Entity Type | Organization |
| Authorized Contact | DANIEL ANOKYE Supervising Pharmacist 917-332-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-05-04 |