# BRENTWOOD PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Square Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891096137
- **Authorized official:** RAJASEKHAR KANTAMNENI (MEMBER)
- **Authorized official phone:** (212) 460-5838

## Contact information

- **Practice address:** 48 W 8TH ST, NEW YORK, NY 10011-9013
- **Practice address phone:** (212) 460-5838
- **Mailing address:** 48 W 8TH ST, NEW YORK, NY 10011-9013
- **Mailing address phone:** (212) 460-5838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 11/03/2010