# KMN PHARMACY CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Oval Pharmacy Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174385983
- **Authorized official:** HIRA DESAI (PRESIDENT)
- **Authorized official phone:** (718) 654-2200

## Contact information

- **Practice address:** 255 E GUN HILL RD, BRONX, NY 10467-2195
- **Practice address phone:** (718) 654-2200
- **Practice address fax:** (718) 515-9118
- **Mailing address:** 255 E GUN HILL RD, BRONX, NY 10467-2109
- **Mailing address phone:** (718) 654-2200
- **Mailing address fax:** (718) 515-9118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 08/22/2024