Organization
DURGA MATA RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATHA CHITTINEEDI (PRESIDENT)
(718) 844-7099
Entity
Organization
Contact information
Practice address
350 NASSAU RD, ROOSEVELT, NY 11575-1350
(718) 844-7099
Mailing address
350 NASSAU RD, ROOSEVELT, NY 11575-1350
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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