Healthcare Provider Details

I. General information

NPI: 1174443337
Provider Name (Legal Business Name): LUTHERAN CHEMIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 2ND AVE
BROOKLYN NY
11220-2669
US

IV. Provider business mailing address

964 77TH ST
BROOKLYN NY
11228-2322
US

V. Phone/Fax

Practice location:
  • Phone: 718-492-9800
  • Fax: 718-492-1900
Mailing address:
  • Phone: 718-942-9800
  • Fax: 718-942-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FARRUKH KHAN
Title or Position: PRESIDENT
Credential:
Phone: 207-299-5289