| NPI | 1114399367 |
|---|---|
| Doing Business As | FREDERICK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VENKATESWARA MALINENI President 212-283-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034144) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-06-02 |