Organization
LITTLE NECK DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA S GAJULAPALLI RPH (SUPERVISING PHARMACIST)
(718) 631-8787
Entity
Organization
Contact information
Practice address
25211 NORTHERN BLVD, LITTLE NECK, NY 11362-1355
(718) 631-8787
(718) 631-7890
Mailing address
25211 NORTHERN BLVD, LITTLE NECK, NY 11362-1355
(718) 631-8787
(718) 631-7890
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02195137
—
NY
Enumeration date
01/21/2007
Last updated
04/16/2008
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