Organization
GREENLEAF PHARMACY LLC
Active
Other names
Greenleaf Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAISATISH GUNDA (VP OPERATIONS)
(914) 478-0004
Entity
Organization
Contact information
Practice address
544 WARBURTON AVE, HASTINGS ON HUDSON, NY 10706-1549
(914) 478-0004
(914) 478-1220
Mailing address
544 WARBURTON AVE, HASTINGS ON HUDSON, NY 10706-1549
(914) 478-0004
(914) 478-1220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142198
PK
—
Enumeration date
09/30/2006
Last updated
09/30/2013
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