Organization
BALAJI II PHARMACY INC
Active
Other names
BALAJI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAVEEN K APPANA (PRESIDENT)
(732) 874-0039
Entity
Organization
Contact information
Practice address
1726 MERMAID AVE, BROOKLYN, NY 11224-2765
(718) 996-9000
(718) 449-5106
Mailing address
1726 MERMAID AVE, BROOKLYN, NY 11224-2765
(718) 996-9000
(718) 449-5106
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03332626
—
NY
01
—
5803968
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/27/2011
Last updated
03/17/2023
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