Organization
LA FARMACIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHA THIMMASANDRA CHANDRASHEKARIAH (MEMBER)
(917) 962-4444
Entity
Organization
Contact information
Practice address
709 E TREMONT AVE, BRONX, NY 10457-5001
(917) 962-4444
(917) 962-4451
Mailing address
709 E TREMONT AVE, BRONX, NY 10457-5001
(917) 962-4444
(917) 962-4451
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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