Organization
DRUG DEPOT CORP
Active
Other names
DRUG DEPOT CORP
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAMOHAN BOMMAREDDY (PRESIDENT)
(516) 222-2330
Entity
Organization
Contact information
Practice address
1601 UNIVERSITY AVE, BRONX, NY 10453
(718) 299-9600
(718) 299-9602
Mailing address
1601 UNIVERSITY BLVD, BRONX, NY 10453-6991
(718) 299-9600
(718) 299-9602
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3353098
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2007
Last updated
01/29/2010
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