Organization
ASHBURTONAVEPHARMACY
Active
Organization
ASHBURTONAVEPHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRANATHREDDY CHIRRA (PHARMACIST)
(914) 963-4525
Entity
Organization
Contact information
Practice address
180 ASHBURTON AVE, YONKERS, NY 10701-3201
(914) 963-4525
(914) 963-4611
Mailing address
180 ASHBURTON AVE, YONKERS, NY 10701-3201
(914) 963-4525
(914) 963-4611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027703
—
NY
01
—
5769720001
DMEPOS SUPPLIER
—
Enumeration date
07/28/2006
Last updated
07/24/2020
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