PINEBROOK RX INC
Pharmacy at Jerome Ave, Bronx, NY

License number
New York 031942
Category
Suppliers
Type
Pharmacy
Owner
Name: RAVIKUMAR MAMIDELA
Title: PRESIDENT
Phone: (718) 992-8182
Address
Address
1183 Jerome Ave, Bronx, NY 10452
National Provider ID: 1851634950
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PINEBROOK RX INC

1183 Jerome Ave, Bronx, NY 10452

Registration:
Jan 23, 2013
Phone:
(718) 992-8182 (Phone)
State ID:
4350043
Business type:
DOMESTIC BUSINESS CORPORATION
Ravikumar Mamidela, 1183 Jerome Ave, Bronx, NY 10452 (Physical)
Categories:
Drug Stores & Pharmacies

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