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Organization

KVS PHARMACY INC.

Active
Other names
Casson Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VASANT SHAH (PRESIDENT)
(718) 464-7777
Entity
Organization

Contact information

Practice address
112-10 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2650
(718) 464-7777
(718) 776-0388
Mailing address
11210 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2650
(718) 464-7777
(718) 776-0388

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025109
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02143020
NY
Enumeration date
12/08/2005
Last updated
10/23/2008
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