Lumen Pharmacy INC

NPI #1558195024 in Ridgewood, New York

Provider Information

NPI Number
1558195024
Entity Type
Organization
Organization Name
Lumen Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 28, 2024
Last Updated
Aug 29, 2024

Practice Location

Address
6242 FOREST AVE
ZIP Code
11385-1929
Phone
(718) 310-6120

Authorized Official

Name
MARWAN AWADALLA, PHARMD
Title
SUPERVISING PHARMACIST / OWNER
Phone
(718) 310-6120

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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