Organization
RISHI PHARMACY CORP
Active
Other names
OZ PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDER GUMMAKONDA (PRESIDENT)
(718) 292-8892
Entity
Organization
Contact information
Practice address
322 E 149TH ST, BRONX, NY 10451-5613
(718) 292-8892
(718) 292-8311
Mailing address
322 E 149TH ST, BRONX, NY 10451-5613
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165828
—
NY
01
—
3354747
OTHER ID NUMBER
—
Enumeration date
07/30/2006
Last updated
05/15/2008
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