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Organization

SAI DURGA PHARMACY LLC

Active
Other names
Scarsdale Spencer Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RAJ KANTAMNENI (MEMBER)
(914) 723-2808
Entity
Organization

Contact information

Practice address
23 SPENCER PL, SCARSDALE, NY 10583-4110
(914) 723-2808
(914) 723-2781
Mailing address
23 SPENCER PL, SCARSDALE, NY 10583-4110
(914) 723-2808
(914) 723-2781

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
035112
NY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04743000
NY
01
2168910
PK
Enumeration date
10/24/2016
Last updated
04/19/2018
About Stedi
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