Organization
INDAAZ INC.
Active
Other names
ESTATES PHARMACY & SURGICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHRUTHI RAVI RPH (PHARMACY MANAGER / PHARMACIST)
(718) 739-0311
Entity
Organization
Contact information
Practice address
16901 HILLSIDE AVE, JAMAICA, NY 11432-4434
(718) 739-0311
(718) 739-0999
Mailing address
16901 HILLSIDE AVE, JAMAICA, NY 11432-4434
(718) 739-0311
(718) 739-0999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03793919
—
NY
Enumeration date
10/09/2013
Last updated
03/25/2026
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