Organization
ANISH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL RAVURI RPH (PRESIDENT)
(718) 777-1100
Entity
Organization
Contact information
Practice address
2650 4TH ST, LONG ISLAND CITY, NY 11102-4126
(718) 777-1100
Mailing address
2650 4TH ST, LONG ISLAND CITY, NY 11102-4126
(718) 777-1100
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
027110
NY
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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