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Organization

FOSTER PHARMA LLC

Active
Other names
ThriftCare Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
VIJAY VASIREDDY (OWNER)
(718) 724-1717
Entity
Organization

Contact information

Practice address
1717 FOSTER AVE, BROOKLYN, NY 11230-1809
(718) 724-1717
(718) 859-4688
Mailing address
1717 FOSTER AVE, BROOKLYN, NY 11230-1809
(718) 724-1717
(718) 859-4688

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031798
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03510547
NY
01
2140241
PK
Enumeration date
10/23/2012
Last updated
09/21/2015
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