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Organization
SMP PHARMACY CORPORATION
Active
Organization
SMP PHARMACY CORPORATION
Active
Other names
Kalish Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADHUSUDAN I PATNI RPH (OWNER SUPERVISING PHARMACIST)
(718) 641-5648
Entity
Organization
Contact information
Practice address
93 20 LIBERTY AVENUE, OZONE PARK, NY 11417
(718) 641-5648
(718) 835-2064
Mailing address
93 20 LIBERTY AVENUE, OZONE PARK, NY 11417
(718) 641-5648
(718) 835-2064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
016761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00455601
—
NY
01
—
016761
NY LIC#
—
Enumeration date
10/19/2006
Last updated
02/08/2008
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