Organization
59 STREET RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRICHARAN GUMMADI (OWNER)
(718) 567-0019
Entity
Organization
Contact information
Practice address
5816 4TH AVE, BROOKLYN, NY 11220-3810
(718) 567-0019
(718) 567-0029
Mailing address
5816 4TH AVE, BROOKLYN, NY 11220-3810
(718) 567-0019
(718) 567-0029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
03/20/2022
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