Organization
SSS PHARMACY INC
Active
Other names
sss pharmacy inc
Organization subpart
No
Provider details
NPI number
Authorized official
SIRISHA MALLIDI (PRESIDENT)
(212) 304-3949
Entity
Organization
Contact information
Practice address
66 NAGLE AVE, NEW YORK, NY 10040-1406
(212) 304-3949
(212) 304-4339
Mailing address
66 NAGLE AVE, NEW YORK, NY 10040-1406
(212) 304-3949
(212) 304-4339
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031103
NY
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01584358
—
NY
01
—
2133774
PK
—
Enumeration date
10/13/2011
Last updated
05/11/2016
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