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Organization
WILSON DRUGS INC
Active
Organization
WILSON DRUGS INC
Active
Other names
RIMCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJENDRAPRASAD VENIGALLA RPH (PRESIDENT)
(718) 919-9131
Entity
Organization
Contact information
Practice address
623 WILSON AVE, BROOKLYN, NY 11207-1220
(718) 919-9131
(718) 919-5060
Mailing address
623 WILSON AVE, BROOKLYN, NY 11207-1220
(718) 919-9131
(718) 919-5060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02497405
—
NY
01
—
3393650
NCPDP
—
Enumeration date
10/09/2006
Last updated
03/07/2023
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