Organization
GREENMAN PHARMACY INC
Active
Other names
saiven pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PARIMALA KOTHAPALLY (SUPERVISING PHARMACIST)
(718) 389-0900
Entity
Organization
Contact information
Practice address
881 MANHATTAN AVE, BROOKLYN, NY 11222-2227
(718) 389-0900
(718) 389-2299
Mailing address
881 MANHATTAN AVE, BROOKLYN, NY 11222-2227
(718) 389-0900
(718) 389-2299
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03142990
—
NY
01
—
3362299
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/01/2009
Last updated
11/15/2010
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