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Organization
KING-RAJ PHARMACY INC.
Active
Organization
KING-RAJ PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APPARAO MALLA M.PHARM, PH.D (PHARMACIST/PRESIDENT)
(718) 584-8371
Entity
Organization
Contact information
Practice address
58 E KINGSBRIDGE RD, BRONX, NY 10468-7504
(718) 584-8371
(718) 933-6677
Mailing address
58 E KINGSBRIDGE RD, BRONX, NY 10468-7504
(718) 584-8371
(718) 933-6677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
01938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01128541
—
NY
Enumeration date
09/20/2006
Last updated
03/13/2008
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