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Organization
J A K PHARMA INC
Active
Organization
J A K PHARMA INC
Active
Other names
ARTHUR AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RATHNA VEERAMACHANANI (PRESIDENT)
(718) 561-4040
Entity
Organization
Contact information
Practice address
2343 ARTHUR AVE, BRONX, NY 10458-8111
(718) 561-4040
(718) 561-5237
Mailing address
2343 ARTHUR AVE, BRONX, NY 10458-8111
(718) 561-4040
(718) 561-5237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
033293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017121
—
NY
01
—
5812652
NCPDP
NY
Enumeration date
10/23/2014
Last updated
03/07/2023
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