Organization
REDDYS PHARMACY INC
Active
Other names
merrick boulevard pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANUGU REDDY (OWNER/SUPERVISING PHARMACIST)
(718) 528-0505
Entity
Organization
Contact information
Practice address
126 13 MERRICK BLVD, JAMAICA, NY 11434
(718) 528-0505
(718) 528-2151
Mailing address
126 13 MERRICK BLVD, JAMAICA, NY 11434
(718) 528-0505
(718) 528-2151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3308459
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/23/2005
Last updated
12/19/2012
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