# NITYA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245603349
- **Authorized official:** MR. RAJESWARA DONEPUDI (PRESIDENT)
- **Authorized official phone:** (631) 299-0213

## Contact information

- **Practice address:** 753 COMMACK RD, BRENTWOOD, NY 11717-7407
- **Practice address phone:** (631) 299-0213
- **Practice address fax:** (631) 299-0228
- **Mailing address:** 753 COMMACK RD, BRENTWOOD, NY 11717-7407
- **Mailing address phone:** (631) 299-0213
- **Mailing address fax:** (631) 299-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2015
- **Last updated:** 11/11/2015
