Organization
BGH RX INC
Active
Other names
D/B/A CYPRESS HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BALAJI DUDDUKURU (PRESIDENT)
(718) 964-1000
Entity
Organization
Contact information
Practice address
1155 A BLAKE AVE, BROOKLYN, NY 11208
(718) 964-1000
Mailing address
1155-A BLAKE AVE, BROOKLYN, NY 11208
(718) 964-1000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030952
BOARD OF PHARMACY REGISTRATION
NY
Enumeration date
11/15/2011
Last updated
09/25/2013
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