Organization · Type 2 NPI

Lic Pharmacy Corp

Pharmacy · Long Island City, NY

NPI number 1649936980 Active

Practice location

4035 21st St Ste 4C
Long Island City, NY 11101-6140

Fax (347) 242-2619

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed

Pharmacy: 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 lo…

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About NPI 1649936980

Lic Pharmacy Corp's National Provider Identifier is 1649936980, issued on Nov 10, 2021. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Long Island City, NY. The record was last updated on Jul 24, 2026.