Organization
NITYA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJESWARA DONEPUDI (PRESIDENT)
(631) 299-0213
Entity
Organization
Contact information
Practice address
753 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 299-0213
(631) 299-0228
Mailing address
753 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 299-0213
(631) 299-0228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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