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NPI Code Detail

MEDICARE: VIJAN PHARMA INC

MEDICARE: VIJAN PHARMA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy031505NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12138615OTHERPK

General Provider Information

NPI Number : 1386918852
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIJAN PHARMA INC
Provider Business Mailing Address
First Line : 312 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3022
Country : US
Telephone Number : 718-774-6800
Fax Number : 718-774-1776
Provider Business Practice Location Address
First Line : 312 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3022
Country : US
Telephone Number : 718-774-6800
Fax Number : 718-774-1776
Authorized Official
Title or Position : PRESIDENT
Name : RATHNA VEERAMACHANANI
Credential :
Telephone Number : 201-780-7210
Provider Enumeration Date : 03/01/2012
Last Update Date : 02/20/2017

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Directions to “VIJAN PHARMA INC ” Practice Location

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