Healthcare Provider Details
I. General information
NPI: 1164161410
Provider Name (Legal Business Name): L&L DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
170 JERICHO TPKE
MINEOLA NY
11501-1718
US
IV. Provider business mailing address
24015 LITTLE NECK RD
DOUGLASTON NY
11363-1321
US
V. Phone/Fax
- Phone: 516-888-7695
- Fax: 516-888-7694
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LIN
LEUNG
Title or Position: PHARMACIST
Credential: PHARMD, BCSCP
Phone: 917-288-8076