Organization
PARK IRMAT DRUG CORP
Active
Other names
IRMAT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JANAKIRAM AJJARAPU (PRESIDENT)
(267) 888-1001
Entity
Organization
Contact information
Practice address
2 PARK AVE, NEW YORK, NY 10016-5675
(212) 685-0500
(212) 532-6596
Mailing address
2 PARK AVE, NEW YORK, NY 10016-5675
(212) 685-0500
(212) 532-6596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021645
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463809
—
NY
01
—
2059949
PK
—
Enumeration date
10/02/2006
Last updated
03/22/2017
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