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Organization

MOLLOY PHARMA INC

Active
Other names
Molloy Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KRISHNA CHALUVADI (PRESIDENT)
(845) 229-8881
Entity
Organization

Contact information

Practice address
4170 ALBANY POST RD, HYDE PARK, NY 12538-1762
(845) 229-8881
(845) 229-8948
Mailing address
4170 ALBANY POST RD, HYDE PARK, NY 12538-1762
(845) 229-8881
(845) 229-8948

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031696
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031696
STATE BOARD
NY
05
03570569
NY
01
2139792
PK
01
5807372
NCPDP
NY
Enumeration date
10/12/2012
Last updated
03/07/2023
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