MEDICARE: LEVRON, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	024848	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3320277	OTHER	NY	NCDCP (NABP) NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083665632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVRON, INC.

Provider Business Mailing Address
First Line	:	3519 31ST AVE
Second Line	:	PO BOX 6246
City	:	ASTORIA
State	:	NY
Zip	:	11106-1408
Country	:	US
Telephone Number	:	718-267-0863
Fax Number	:	718-267-8562

Provider Business Practice Location Address
First Line	:	3519 31ST AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11106-1408
Country	:	US
Telephone Number	:	718-267-0863
Fax Number	:	718-267-8562

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	PETER E LEVIS
Credential	:	R.PH.
Telephone Number	:	718-267-8063

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	06/27/2022

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Directions to “LEVRON, INC. ” Practice Location

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