Organization
BOSTON PHARMA LLC
Active
Other names
ABO PHARMACY & MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
RANGA SANTOSH NARLA (MANAGER/SUPERVISING PHARMACIST)
(718) 872-5142
Entity
Organization
Contact information
Practice address
8003 FLATLANDS AVE, BROOKLYN, NY 11236-3533
(718) 872-5142
(718) 872-5137
Mailing address
8003 FLATLANDS AVE, BROOKLYN, NY 11236-3533
(718) 872-5142
(718) 872-5137
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04428722
—
NY
01
—
2148253
PK
—
Enumeration date
08/15/2014
Last updated
11/27/2018
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