Organization
PGU PHARMACY INC
Active
Other names
First Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASULU THOTA (SUPERVISING PHARMACIST / MANAGER)
(347) 597-7999
Entity
Organization
Contact information
Practice address
1229 FRANKLIN AVE, BRONX, NY 10456-3515
(347) 597-7999
(347) 597-7405
Mailing address
1229 FRANKLIN AVE, BRONX, NY 10456-3515
(347) 597-7999
(347) 597-7405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04240608
—
NY
01
—
2154282
PK
—
Enumeration date
04/21/2010
Last updated
04/28/2022
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