Organization
STANLEY PHARMA LLC
Active
Other names
Stanley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADAN GUNTUPALLI (PHARMACY MANAGER / PHARMACIST)
(914) 476-6060
Entity
Organization
Contact information
Practice address
2 S BROADWAY, YONKERS, NY 10701-3702
(914) 476-6060
(914) 969-4108
Mailing address
2 S BROADWAY, YONKERS, NY 10701-3702
(914) 476-6060
(914) 969-4108
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139795
PK
—
01
—
5807396
NCPDP
—
Enumeration date
02/13/2013
Last updated
10/06/2020
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