Organization
DEKALB DRUGS INC
Active
Other names
DEKALB DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
SREENIVAS AKULA (OWNER)
(718) 249-0670
Entity
Organization
Contact information
Practice address
173 MARCUS GARVEY BLVD, BROOKLYN, NY 11221-1408
(718) 249-0670
(718) 249-0639
Mailing address
173 MARCUS GARVEY BLVD, BROOKLYN, NY 11221-1408
(718) 249-0670
(718) 249-0639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760736
—
NY
01
—
2068207
PK
—
Enumeration date
07/12/2006
Last updated
10/09/2018
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