# SRI SRINIVASA PHARMA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SRI SRINIVASA PHARMA INC
- **Other names:** HEALTH CARE PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376608703
- **Legal business name:** SRI SRINIVASA PHARMA INC
- **Authorized official:** SUDHEER MALGIREDDY (OWNER)
- **Authorized official phone:** (347) 307-1421

## Contact information

- **Practice address:** 119 OCEAN AVE, JERSEY CITY, NJ 07305
- **Practice address phone:** (201) 432-6968
- **Practice address fax:** (201) 432-7004
- **Mailing address:** 119 OCEAN AVE, JERSEY CITY, NJ 07305
- **Mailing address phone:** (201) 432-6968
- **Mailing address fax:** (201) 432-7004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00618300 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 04/25/2019