| NPI | 1336275387 |
|---|---|
| Doing Business As | KINGSBRIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VENU G. MADDUKURI Pharmacist, Owner 718-933-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 017576) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 00726018) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |