Organization
MERK PHARMA INC
Active
Other names
5 STAR PHARMACY & SURGICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL PULIGILLA (PHARMACIST)
(718) 401-6500
Entity
Organization
Contact information
Practice address
2604 3RD AVE, BRONX, NY 10454-1199
(718) 401-6500
(718) 401-6502
Mailing address
2604 3RD AVE, BRONX, NY 10454-1199
(718) 401-6500
(718) 401-6502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03468848
—
NY
01
—
2139220
PK
—
Enumeration date
06/29/2012
Last updated
09/22/2014
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