Organization
CANAAN PHARMACY INC.
Active
Other names
FREEDOM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA CHALUVADI (DIRECTOR)
(718) 293-9596
Entity
Organization
Contact information
Practice address
6914 5TH AVE, BROOKLYN, NY 11209-1507
(718) 779-4523
(718) 779-7814
Mailing address
6914 5TH AVE, BROOKLYN, NY 11209-1507
(718) 779-4523
(718) 779-7814
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
017260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00656400
—
NY
Enumeration date
06/25/2006
Last updated
04/27/2018
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