Organization
KINGRAJ PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APPARAO MALLA PHARMACIST (OWNER)
(718) 584-8371
Entity
Organization
Contact information
Practice address
58 E KINGSBRIDGE RD, BRONX, NY 10468-7517
(718) 584-8371
(718) 933-6677
Mailing address
58 E KINGSBRIDGE RD, BRONX, NY 10468-7517
(718) 584-8371
(718) 933-6677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
019038
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01128541
—
NY
Enumeration date
11/08/2013
Last updated
11/08/2013
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