Individual
MR. ANIL MADDUKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2558 GRAND CONCOURSE, POE PHARMACY, BRONX, NY 10458
(718) 364-7070
Mailing address
2558 GRAND CONCOURSE, POE PHARMACY, BRONX, NY 10458
(718) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054739
NY
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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