Provider Demographics
NPI:1376947176
Name:LEXICON PHARMACY II INC.
Entity Type:Organization
Organization Name:LEXICON PHARMACY II INC.
Other - Org Name:STARLING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:WAHID
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-278-9733
Mailing Address - Street 1:378 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4171
Mailing Address - Country:US
Mailing Address - Phone:914-278-9733
Mailing Address - Fax:914-278-9735
Practice Address - Street 1:378 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4171
Practice Address - Country:US
Practice Address - Phone:914-278-9733
Practice Address - Fax:914-278-9735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYFL4893930333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7414370001Medicare NSC