ANISH PHARMACY
Suppliers at 4 St, Long Island City, NY

License number
New York 027110
Category
Suppliers
Type
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Owner
Name: ANIL RAVURI RPH
Title: PRESIDENT
Phone: (718) 777-1100
Address
Address
2650 4Th St, Long Island City, NY 11102
National Provider ID: 1467517623
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANISH PHARMACY INC

Long Island City, NY

Status:
Inactive
Industry:
Ret Drugs/Sundries
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jul 26, 2004
Inactive since:
Jan 25, 2012
Addresses:
Ez Pharmacy & Surgical 26-50 4 St, Astoria, NY 11102 (Physical)
26-50 4 St, Astoria, NY 11102 (Physical)
2650 4 St, Long Island City, NY 11102
State ID:
3082615
Business type:
DOMESTIC BUSINESS CORPORATION
President, Principal:
Anil K Ravuri (President, Principal), 26-50 4 St, Astoria, NY 11102 (Physical)

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