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Organization

BRENTWOOD PHARMACY LLC

Active
Other names
Washington Square Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RAJASEKHAR KANTAMNENI (MEMBER)
(212) 460-5838
Entity
Organization

Contact information

Practice address
48 W 8TH ST, NEW YORK, NY 10011-9013
(212) 460-5838
Mailing address
48 W 8TH ST, NEW YORK, NY 10011-9013
(212) 460-5838

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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