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Organization

MANAV II INC

Active
Other names
good health family pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KANIGIRI GADE (PRESIDENT)
(212) 665-6007
Entity
Organization

Contact information

Practice address
449 W 125TH ST, NEW YORK, NY 10027-4210
(212) 665-6007
(212) 665-6220
Mailing address
449 W 125TH ST, NEW YORK, NY 10027-4210
(212) 665-6007
(212) 665-6220

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026778
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02590265
NY
01
3339478
NCPDP
NY
Enumeration date
12/06/2005
Last updated
08/22/2020
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