Provider Demographics
NPI:1265816128
Name:FENNY PHARMACY LLC
Entity Type:Organization
Organization Name:FENNY PHARMACY LLC
Other - Org Name:FENNY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-962-4444
Mailing Address - Street 1:709 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-5001
Mailing Address - Country:US
Mailing Address - Phone:917-962-4444
Mailing Address - Fax:917-962-4440
Practice Address - Street 1:709 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-5001
Practice Address - Country:US
Practice Address - Phone:917-962-4444
Practice Address - Fax:917-962-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy