Provider Demographics
NPI:1023617057
Name:LEMED PHARMACY III LLC
Entity type:Organization
Organization Name:LEMED PHARMACY III LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHALEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-913-4656
Mailing Address - Street 1:2417 3RD AVE STE 406
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-6340
Mailing Address - Country:US
Mailing Address - Phone:347-913-4656
Mailing Address - Fax:718-231-2727
Practice Address - Street 1:2417 3RD AVE STE 406
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-6340
Practice Address - Country:US
Practice Address - Phone:347-913-4656
Practice Address - Fax:718-231-2727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEMED PHARMACY III LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy