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Organization
VICRAM PHARMACY INC
Active
Organization
VICRAM PHARMACY INC
Active
Other names
ROYAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BALAJI DUDDUKURU (PRESIDENT)
(718) 941-7722
Entity
Organization
Contact information
Practice address
2244 CHURCH AVE, BROOKLYN, NY 11226-4195
(718) 941-7722
(718) 941-0023
Mailing address
2239 CHURCH AVE, BROOKLYN, NY 11226-3201
(718) 941-7722
(718) 941-0023
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03235132
—
NY
01
—
5801142
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/26/2010
Last updated
10/05/2021
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