| NPI | 1447237144 |
|---|---|
| Doing Business As | MERRICK BOULEVARD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANUGU REDDY Owner/Supervising Pharmacist 718-528-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 031563) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2012-12-19 |