Organization
GETTY SQUARE PHARMACY INC
Active
Other names
GETTY SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MADAN M GUNTUPALLI (PRESIDENT)
(732) 666-7163
Entity
Organization
Contact information
Practice address
1 S BROADWAY, YONKERS, NY 10701-3701
(914) 457-5742
(914) 457-5743
Mailing address
1 S BROADWAY, YONKERS, NY 10701-3701
(914) 457-5742
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
036571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036571
NY STATE BOARD OF PHARMACY
NY
Enumeration date
05/23/2018
Last updated
11/14/2023
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