Organization
AMAZING COMMUNITY PHARMACY LLC
Active
Other names
AMAZING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SARATHCHANDRA ADUSUMALLI (SUPERVISING PHARMACIST)
(718) 466-1122
Entity
Organization
Contact information
Practice address
595 E TREMONT AVE, BRONX, NY 10457-4727
(718) 466-1122
(718) 466-7747
Mailing address
595 E TREMONT AVE, BRONX, NY 10457-4727
(718) 466-1122
(718) 466-7747
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04660651
—
NY
01
—
2166959
PK
—
Enumeration date
11/21/2016
Last updated
11/20/2020
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