Organization
SLV PHARMACY INC
Active
Other names
FROST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD MADDULA (PRESIDENT)
(718) 457-3192
Entity
Organization
Contact information
Practice address
86 52 QUEENS BLVD, ELMHURST, NY 11373-4486
(718) 457-3192
(718) 397-0791
Mailing address
86 52 QUEENS BLVD, ELMHURST, NY 11373
(718) 457-3192
(718) 397-0791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01560383
—
NY
01
—
2064515
PK
—
Enumeration date
10/25/2006
Last updated
03/15/2017
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