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Organization
ST. JESUS PHARMACY CORP
Active
Organization
ST. JESUS PHARMACY CORP
Active
Other names
ST JESUS PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAJ DESAI (PRESIDENT)
(212) 923-5733
Entity
Organization
Contact information
Practice address
4180 BROADWAY, NEW YORK, NY 10033-3767
(212) 923-5733
(212) 923-5748
Mailing address
4180 BROADWAY, NEW YORK, NY 10033-3767
(212) 923-5733
(212) 923-5748
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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