Organization
PHARMACY SPECIALIST GROUP III INC
Active
Other names
Faith Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAHMAJI VALIVETI (PRESIDENT)
(917) 676-1811
Entity
Organization
Contact information
Practice address
52 WILLOUGHBY ST, BROOKLYN, NY 11201-5212
(718) 643-6300
(718) 643-6311
Mailing address
52 WILLOUGHBY ST, BROOKLYN, NY 11201-5212
(718) 643-6300
(718) 643-6311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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