Organization
DD PHARMACY INC
Active
Other names
LEROY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PUSHPA DESAI (PHARM MGR)
(718) 823-4344
Entity
Organization
Contact information
Practice address
1448 METROPOLITAN AVE, BRONX, NY 10462-7402
(718) 823-4344
(718) 823-0750
Mailing address
1448 METROPOLITAN AVE, BRONX, NY 10462-7402
(718) 823-4344
(718) 823-0750
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01874657
—
NY
01
—
2057257
PK
—
Enumeration date
11/17/2006
Last updated
12/20/2016
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