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Organization
SURYA PHARMACY INC
Active
Organization
SURYA PHARMACY INC
Active
Other names
Richmond Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DHAMA BAKTHAVATSALU RPH (PRESIDENT)
(718) 849-7300
Entity
Organization
Contact information
Practice address
12501 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1411
(718) 849-7300
Mailing address
12501 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1411
(718) 849-7300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02617807
—
NY
Enumeration date
02/09/2007
Last updated
09/24/2018
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