Organization
OZ PHARMA INC
Active
Other names
OZ PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SWAPNA KAKULAVARAM (MANAGER)
(718) 292-8892
Entity
Organization
Contact information
Practice address
322 E 149TH ST, BRONX, NY 10451-5613
(718) 292-8892
(718) 292-8311
Mailing address
322 E 149TH ST, BRONX, NY 10451-5613
(718) 292-8892
(718) 292-8311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152689
PK
—
Enumeration date
04/13/2015
Last updated
04/28/2022
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