Organization
HEALTHWAY PHARMACY LLC
Active
Other names
Leroy Speciality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENKATA N MEKA (PHARMACIST)
(718) 964-1130
Entity
Organization
Contact information
Practice address
2832 LINDEN BLVD, BROOKLYN, NY 11208
(718) 964-1130
(718) 964-1133
Mailing address
2832 LINDEN BOULEVARD, BROOKLYN, NY 11208
(718) 964-1130
(718) 964-1133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02530885
—
NY
Enumeration date
07/11/2006
Last updated
11/06/2008
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