Provider Demographics
NPI:1154156651
Name:AHY PHARMA INC
Entity type:Organization
Organization Name:AHY PHARMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:YADAGIRI
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:PENDYALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-972-3340
Mailing Address - Street 1:PO BOX 555
Mailing Address - Street 2:
Mailing Address - City:ELMER
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-0555
Mailing Address - Country:US
Mailing Address - Phone:856-865-2365
Mailing Address - Fax:856-865-2355
Practice Address - Street 1:201 FRONT ST
Practice Address - Street 2:
Practice Address - City:ELMER
Practice Address - State:NJ
Practice Address - Zip Code:08318-2141
Practice Address - Country:US
Practice Address - Phone:856-865-2365
Practice Address - Fax:856-865-2355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy