Organization
HOERNING PHARMA INC
Active
Other names
Hoerning Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDER ANNAMANENI (PRESIDENT)
(518) 731-2400
Entity
Organization
Contact information
Practice address
34 HOPE PLZ, WEST COXSACKIE, NY 12192-1225
(518) 731-2400
Mailing address
34 HOPE PLZ, WEST COXSACKIE, NY 12192-1225
(518) 731-2400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032732
STATE BOARD
NY
01
—
2146631
PK
—
01
—
5810999
NCPDP
NY
Enumeration date
03/20/2014
Last updated
03/07/2023
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