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Organization
ST. JESUS PHARMACY CORP
Active
Organization
ST. JESUS PHARMACY CORP
Active
Other names
ST. JESUS PHARMACY
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
Mailing address
4180 BROADWAY, NEW YORK, NY 10033-3767
(212) 923-5733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Enumeration date
02/14/2023
Last updated
02/24/2023
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