Organization
BOBS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARATH ADUSUMALLI (OWNER)
(315) 732-6915
Entity
Organization
Contact information
Practice address
430 BLEECKER ST, UTICA, NY 13501
(315) 732-6915
(315) 732-6641
Mailing address
430 BLEECKER ST, UTICA, NY 13501
(315) 732-6915
(315) 732-6641
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
03/13/2020
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