Organization
JOJAN PHARMA INC
Active
Other names
ST.JUDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RATHNA VEERAMACHANANI (PRESIDENT)
(201) 780-7210
Entity
Organization
Contact information
Practice address
121 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4043
(718) 381-5116
Mailing address
121 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4043
(718) 381-5116
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
030756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03305451
—
NY
Enumeration date
10/20/2016
Last updated
10/20/2016
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