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General NPI Number Information
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NPI Number | 1609712819
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Entity Type | Organization
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Legal Business Name | CROWN PHARMA INC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 4020 82ND ST
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City | ELMHURST
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State | NY
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Zip | 11373-1305
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Country | US
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Telephone | 718-426-2525
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Fax | 718-426-2523
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Provider Business Mailing Address
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Address Line | 4020 82ND ST
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City | ELMHURST
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State | NY
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Zip | 11373-1305
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Country | US
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Telephone | 718-426-2525
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Fax | 718-426-2523
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVINDER RAO ANNAMANENI
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Credential |
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Telephone | 347-952-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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