Organization
ASARA LLC
Active
Other names
merrick blvd pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI CHITTINEEDI (MANAGER)
(718) 528-0505
Entity
Organization
Contact information
Practice address
12613 MERRICK BLVD, JAMAICA, NY 11434-3419
(718) 528-0505
(718) 528-2151
Mailing address
126-13 MERRICK BLVD, JAMAICA, NY 11434
(718) 528-0505
(718) 528-2151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032637
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03785251
—
NY
01
—
2145347
PK
—
Enumeration date
11/07/2013
Last updated
09/19/2025
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