Organization
KAKATIYA INC
Active
Other names
Frederick Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESWARA MALINENI (PRESIDENT)
(212) 283-9114
Entity
Organization
Contact information
Practice address
2452 8TH AVE, NEW YORK, NY 10027-7701
(212) 283-9114
(212) 283-9338
Mailing address
2452 8TH AVE, NEW YORK, NY 10027-7701
(212) 283-9114
(212) 283-9338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157434
PK
—
Enumeration date
10/28/2015
Last updated
06/02/2016
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