Provider Demographics
NPI:1588037030
Name:NEW GENERATION PHARMACY LLC
Entity Type:Organization
Organization Name:NEW GENERATION PHARMACY LLC
Other - Org Name:GENERATION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-227-9129
Mailing Address - Street 1:31-33 OLIVER STREET
Mailing Address - Street 2:STORE #3
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-227-9129
Mailing Address - Fax:815-425-8920
Practice Address - Street 1:31-33 OLIVER STREET
Practice Address - Street 2:STORE #3
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-227-9129
Practice Address - Fax:815-425-8920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy