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Organization
UTICA RX INC
Active
Organization
UTICA RX INC
Active
Other names
PHAMCO DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID CHAUDHARY (PRESIDENT/OWNER)
(718) 778-8750
Entity
Organization
Contact information
Practice address
374 UTICA AVE, BROOKLYN, NY 11213-5551
(718) 778-8750
(718) 778-8752
Mailing address
81-15, 252 STREET, BELLEROSE, NY 11426
(917) 797-7698
(718) 604-2585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031181
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5804681
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/27/2012
Last updated
04/09/2012
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