Organization
PRAMUKH DRUGS CORP
Active
Other names
MYRTLE DRUGMART
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA M AVILA (PRESIDENT-OWNER)
(347) 227-8188
Entity
Organization
Contact information
Practice address
6562 MYRTLE AVENUE, GLENDALE, NY 11385
(347) 227-8188
(347) 227-8402
Mailing address
6562 MYRTLE AVENUE, GLENDALE, NY 11385
(347) 227-8188
(347) 227-8402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
031692
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03521708
—
NY
01
—
2138720
PK
—
Enumeration date
11/15/2012
Last updated
02/02/2023
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