Organization
REALVALUE PATIENTS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOKA BENEDICT GOMES BS, MS, PHARMD (CEO/ DOCTOR OF PHARMACY)
(347) 699-1237
Entity
Organization
Contact information
Practice address
9401 37TH AVE UNIT 7, JACKSON HEIGHTS, NY 11372-7917
(347) 699-1237
(347) 699-1237
Mailing address
9401 37TH AVE # 7, JACKSON HEIGHTS, NY 11372-7917
(347) 699-1237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05493476
—
NY
Enumeration date
12/17/2018
Last updated
07/03/2019
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