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Organization

AJANTA PHARMACY

Active
Other names
AJANTA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
VENKATESWARLU MARELLA B.PHARM,M.PHARM (PRES)
(212) 283-6228
Entity
Organization

Contact information

Practice address
2718 8TH AVE, NEW YORK, NY 10030-3706
(212) 283-6228
(212) 281-2635
Mailing address
2718 8TH AVE, NEW YORK, NY 10030-3706
(212) 283-6228
(212) 281-2635

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
018218
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00841305
NY
01
3380386
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/05/2006
Last updated
03/30/2010
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