# REDDYS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** merrick boulevard pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447237144
- **Authorized official:** ANUGU REDDY (OWNER/SUPERVISING PHARMACIST)
- **Authorized official phone:** (718) 528-0505

## Contact information

- **Practice address:** 126 13 MERRICK BLVD, JAMAICA, NY 11434
- **Practice address phone:** (718) 528-0505
- **Practice address fax:** (718) 528-2151
- **Mailing address:** 126 13 MERRICK BLVD, JAMAICA, NY 11434
- **Mailing address phone:** (718) 528-0505
- **Mailing address fax:** (718) 528-2151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 031563 | NY | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 12/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3308459 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |