Provider Demographics
NPI:1801672746
Name:LIRX PHARMACY INC
Entity type:Organization
Organization Name:LIRX PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AZEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-826-7234
Mailing Address - Street 1:930 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2900
Mailing Address - Country:US
Mailing Address - Phone:631-724-7096
Mailing Address - Fax:631-406-7263
Practice Address - Street 1:930 WHEELER RD
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2900
Practice Address - Country:US
Practice Address - Phone:631-724-7096
Practice Address - Fax:631-406-7263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy