# SWAMI NARAYAN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPERVALUE PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356478812
- **Authorized official:** MR. PETER M PERVAZ (MANAGER)
- **Authorized official phone:** (718) 881-2260

## Contact information

- **Practice address:** 3457 BOSTON RD, BRONX, NY 10469-2508
- **Practice address phone:** (718) 881-2260
- **Practice address fax:** (718) 652-8599
- **Mailing address:** 3457 BOSTON RD, BRONX, NY 10469-2508
- **Mailing address phone:** (718) 881-2260
- **Mailing address fax:** (718) 652-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 023460 | NY | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 05/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01764910 | — | NY |