Organization
MOBY DRUGS INC
Active
Other names
MOBY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJENDRAPRASAD VENIGALLA (OWNER/PRESIDENT)
(347) 528-8893
Entity
Organization
Contact information
Practice address
226 MAIN ST, FARMINGDALE, NY 11735-2679
(516) 249-0268
(516) 249-2036
Mailing address
226 MAIN ST, FARMINGDALE, NY 11735-2679
(516) 249-0268
(516) 249-2036
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02974638
—
NY
Enumeration date
04/04/2023
Last updated
04/04/2023
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