Organization
CORBY PHARMA INC
Active
Other names
CORBY CHEMISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABHIJIT GUDIVADA RPH (PHARMACY MANAGER / PHARMACIST)
(212) 755-6632
Entity
Organization
Contact information
Practice address
988 1ST AVE, NEW YORK, NY 10022-4150
(212) 755-6632
(212) 752-4931
Mailing address
988 1ST AVE, NEW YORK, NY 10022-4150
(212) 755-6632
(212) 752-4931
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030135
STATE BOARD
NY
05
—
03198776
—
NY
01
—
5800239
NCPDP
NY
Enumeration date
12/10/2009
Last updated
09/13/2023
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