Provider Demographics
NPI:1356330740
Name:PL PHARMACY INC
Entity Type:Organization
Organization Name:PL PHARMACY INC
Other - Org Name:LOWEN'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-238-2444
Mailing Address - Street 1:6902 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1305
Mailing Address - Country:US
Mailing Address - Phone:718-238-2444
Mailing Address - Fax:718-921-6104
Practice Address - Street 1:6902 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1305
Practice Address - Country:US
Practice Address - Phone:718-238-2444
Practice Address - Fax:718-921-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0291153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3310062OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NY03035150Medicaid
NY03035150Medicaid