# VENKAT PHARM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770655912
- **Authorized official:** CHIRAG PARIKH (PHARMACY MANAGER)
- **Authorized official phone:** (718) 773-3700

## Contact information

- **Practice address:** 1484 FULTON ST, BROOKLYN, NY 11216-2505
- **Practice address phone:** (718) 773-3700
- **Practice address fax:** (718) 773-4425
- **Mailing address:** 1484 FULTON ST, BROOKLYN, NY 11216-2505
- **Mailing address phone:** (718) 773-3700
- **Mailing address fax:** (718) 773-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 047228 | NY | — |
| 333600000X | Pharmacy | 047228 | NY | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 02/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02473967 | — | NY |