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Organization
VLSG PHARMACY INC
Active
Organization
VLSG PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRABHAVATHI VK MADDULA (PRESIDENT)
(732) 613-5806
Entity
Organization
Contact information
Practice address
4013 5TH AVE, BROOKLYN, NY 11232-2962
(732) 613-5806
Mailing address
4013 5TH AVE, BROOKLYN, NY 11232-2962
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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