# OVAL PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OVAL DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134213549
- **Authorized official:** JAYSHREE DESAI (PRESIDENT)
- **Authorized official phone:** (718) 823-0688

## Contact information

- **Practice address:** 1500 METROPOLITAN AVE, BRONX, NY 10462-6801
- **Practice address phone:** (718) 823-0688
- **Practice address fax:** (718) 823-1149
- **Mailing address:** 1500 METROPOLITAN AVE, BRONX, NY 10462-6801
- **Mailing address phone:** (718) 823-0688
- **Mailing address fax:** (718) 823-1149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 033722 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 12/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04295089 | — | NY |
| 01 | — | 2154301 | PK | — |