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NPI Code Detail

MEDICARE: SNVA PHARMACY LLC

MEDICARE: SNVA PHARMACY LLC
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

General Provider Information

NPI Number : 1891276226
Entity Type Code : Organization
Provider Name (Legal Business Name) : SNVA PHARMACY LLC
Provider Business Mailing Address
First Line : 3350 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-2034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-2034
Country : US
Telephone Number : 718-827-9034
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SRINIVAS MADDALI
Credential :
Telephone Number : 973-945-5165
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “SNVA PHARMACY LLC ” Practice Location

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