Provider Demographics
NPI:1235640418
Name:LEXINGTON PHARMACY INC
Entity Type:Organization
Organization Name:LEXINGTON PHARMACY INC
Other - Org Name:TOWER DRUGS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/AO
Authorized Official - Prefix:
Authorized Official - First Name:AHSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-637-4513
Mailing Address - Street 1:2272 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2209
Mailing Address - Country:US
Mailing Address - Phone:212-369-6500
Mailing Address - Fax:212-369-6502
Practice Address - Street 1:2272 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2209
Practice Address - Country:US
Practice Address - Phone:212-369-6500
Practice Address - Fax:212-369-6502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0358563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2173925OtherPK