Jefferson Pharma LLC
Pharmacy, Community/Retail Pharmacy in Bronx, NY. Organization (NPI-2).
NPI number1487911368
StatusActive
Last updated in NPPESFeb 2, 2022
Details
- NPI
- 1487911368
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson Pharma LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2012
- Certification date
- Feb 2, 2022
- Last updated
- Feb 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 031367 | NY | Yes |
Other names
- Feel Good Pharmacy (Doing Business As)
Practice location
3058 3rd AveBronx, NY 10451-4605
Phone 929-777-9108 · Fax 929-777-9109
Mailing address
3058 3rd AveBronx, NY 10451-4605
Phone 929-777-9108 · Fax 929-777-9109
Authorized official
Ravinder Rao Annamaneni
Member
9297779108
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