Organization
JPPA PHARMACY INC
Active
Other names
SALZMAN CHEMISTS
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRAPRASAD VENIGALLA (SECRETARY)
(718) 380-5440
Entity
Organization
Contact information
Practice address
14919 UNION TPKE, FLUSHING, NY 11367-3849
(718) 380-5440
(718) 380-3028
Mailing address
14919 UNION TPKE, FLUSHING, NY 11367-3849
(718) 380-5440
(718) 380-3028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031940
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03585320
—
NY
01
—
2140691
PK
—
Enumeration date
02/14/2007
Last updated
02/15/2022
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