| NPI | 1346887833 |
|---|---|
| Doing Business As | SOUTHERN BLVD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRUPA SANNIDHI Owner 718-282-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2025-11-10 |