Provider Demographics
NPI:1366008369
Name:A-TOWN PHARMACY LLC
Entity Type:Organization
Organization Name:A-TOWN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILEA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:NG WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-923-6099
Mailing Address - Street 1:3919 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2044
Mailing Address - Country:US
Mailing Address - Phone:718-686-1201
Mailing Address - Fax:
Practice Address - Street 1:3919 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-2044
Practice Address - Country:US
Practice Address - Phone:718-686-1201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy