# J A K PHARMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARTHUR AVENUE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780089599
- **Authorized official:** RATHNA VEERAMACHANANI (PRESIDENT)
- **Authorized official phone:** (718) 561-4040

## Contact information

- **Practice address:** 2343 ARTHUR AVE, BRONX, NY 10458-8111
- **Practice address phone:** (718) 561-4040
- **Practice address fax:** (718) 561-5237
- **Mailing address:** 2343 ARTHUR AVE, BRONX, NY 10458-8111
- **Mailing address phone:** (718) 561-4040
- **Mailing address fax:** (718) 561-5237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 033293 | NY | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04017121 | — | NY |
| 01 | — | 5812652 | NCPDP | NY |