# MOBY DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOBY DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053016410
- **Authorized official:** MR. RAJENDRAPRASAD VENIGALLA (OWNER/PRESIDENT)
- **Authorized official phone:** (347) 528-8893

## Contact information

- **Practice address:** 226 MAIN ST, FARMINGDALE, NY 11735-2679
- **Practice address phone:** (516) 249-0268
- **Practice address fax:** (516) 249-2036
- **Mailing address:** 226 MAIN ST, FARMINGDALE, NY 11735-2679
- **Mailing address phone:** (516) 249-0268
- **Mailing address fax:** (516) 249-2036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 04/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02974638 | — | NY |