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Organization
SRI SRINIVASA PHARMA INC
Active
Organization
SRI SRINIVASA PHARMA INC
Active
Parent organization
SRI SRINIVASA PHARMA INC
Other names
HEALTH CARE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SRI SRINIVASA PHARMA INC
Authorized official
SUDHEER MALGIREDDY (OWNER)
(347) 307-1421
Entity
Organization
Contact information
Practice address
119 OCEAN AVE, JERSEY CITY, NJ 07305
(201) 432-6968
(201) 432-7004
Mailing address
119 OCEAN AVE, JERSEY CITY, NJ 07305
(201) 432-6968
(201) 432-7004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
28RS00618300
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/26/2006
Last updated
04/25/2019
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