# VIJAN PHARMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SURE DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386918852
- **Authorized official:** RATHNA VEERAMACHANANI (PRESIDENT)
- **Authorized official phone:** (201) 780-7210

## Contact information

- **Practice address:** 312 RALPH AVE, BROOKLYN, NY 11233-3022
- **Practice address phone:** (718) 774-6800
- **Practice address fax:** (718) 774-1776
- **Mailing address:** 312 RALPH AVE, BROOKLYN, NY 11233-3022
- **Mailing address phone:** (718) 774-6800
- **Mailing address fax:** (718) 774-1776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 031505 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2138615 | PK | — |
