Healthcare Provider Details
I. General information
NPI: 1538063581
Provider Name (Legal Business Name): LYM RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1684 PENNINGTON RD
EWING NJ
08618-1315
US
IV. Provider business mailing address
1684 PENNINGTON RD
EWING NJ
08618-1315
US
V. Phone/Fax
- Phone: 609-766-9660
- Fax: 609-766-9661
- Phone: 609-766-9660
- Fax: 609-766-9661
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
SYED FURQAN
ABBASS
KAZMI
Title or Position: OWNER
Credential: PHARM D
Phone: 609-766-9660