Provider Demographics
NPI:1578851044
Name:LSC PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:LSC PHARMACY SERVICES INC
Other - Org Name:LSC MAIL ORDER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P. RPIC
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-851-7420
Mailing Address - Street 1:605 MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2601
Mailing Address - Country:US
Mailing Address - Phone:908-222-5700
Mailing Address - Fax:908-222-5757
Practice Address - Street 1:605 MONTROSE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-2601
Practice Address - Country:US
Practice Address - Phone:908-222-5700
Practice Address - Fax:908-222-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3198024OtherNCPDP PROVIDER IDENTIFICATION NUMBER