Provider Demographics
NPI:1558732578
Name:LENOX PHARMA LLC
Entity Type:Organization
Organization Name:LENOX PHARMA LLC
Other - Org Name:LENOX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVINDER
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:ANNAMANENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-649-0896
Mailing Address - Street 1:299 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5211
Mailing Address - Country:US
Mailing Address - Phone:860-649-0896
Mailing Address - Fax:860-649-1389
Practice Address - Street 1:299 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5211
Practice Address - Country:US
Practice Address - Phone:860-649-0896
Practice Address - Fax:860-649-1389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy