Organization
520 FRANKLIN AVENUE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAKIRAM AJJARAPU RPH (PRESIDENT OWNER)
(267) 888-1001
Entity
Organization
Contact information
Practice address
520 FRANKLIN AVE STE 103, GARDEN CITY, NY 11530-5814
(516) 280-7960
(516) 280-7962
Mailing address
520 FRANKLIN AVE STE 103, GARDEN CITY, NY 11530-5814
(516) 280-7960
(516) 280-7962
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04411267
—
NY
01
—
2167960
PK
—
Enumeration date
06/11/2015
Last updated
03/16/2017
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