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Organization

TAHITI PHARMACY LLC

Active
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Organization

TAHITI PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VENKATA SIVA PRASAD KODALI R.PH (SOLE MEMBER)
(212) 510-8133
Entity
Organization

Contact information

Practice address
1486 5TH AVE, NEW YORK, NY 10035-2703
(212) 510-8133
(212) 510-8245
Mailing address
1486 5TH AVE, NEW YORK, NY 10035-2703
(212) 510-8133
(212) 510-8245

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
About Stedi
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