LAKE AVE PHARMACY INC NPI 1932111861

NPI Information

LAKE AVE PHARMACY INC is a pharmacy in Yonkers, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LAKE AVE PHARMACY INC NPI is 1932111861. The provider is registered as an organization entity type.

The provider's business location address is:

130 LAKE AVE
YONKERS, NY
ZIP 10703-713
Phone: (914) 965-3034
Fax: (914) 965-4176

The provider's authorized official is John A Lupo .
The authorized official title is Pharmacist and has the following contact phone number (914) 965-3034.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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