# MARRAS PHARMA CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marras Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154905560
- **Authorized official:** MR. PRAVEEN KUMAR CHALLA RPH (SECRETARY)
- **Authorized official phone:** (518) 237-2110

## Contact information

- **Practice address:** 217 REMSEN ST, COHOES, NY 12047-3024
- **Practice address phone:** (518) 237-2110
- **Practice address fax:** (518) 237-5513
- **Mailing address:** PO BOX 229, COHOES, NY 12047-0229
- **Mailing address phone:** (518) 237-2110

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 06/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 038698 | NY STATE LICENSE | NY |