# PRESCRIPTION AND VITAMIN WAREHOUSE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275525081
- **Authorized official:** MS. NISHA SHARBO (PRESIDENT)
- **Authorized official phone:** (718) 464-2400

## Contact information

- **Practice address:** 18232 HILLSIDE AVE, JAMAICA, NY 11432-4837
- **Practice address phone:** (718) 464-2400
- **Practice address fax:** (718) 736-0600
- **Mailing address:** 18232 HILLSIDE AVE, JAMAICA, NY 11432-4837
- **Mailing address phone:** (718) 464-2400
- **Mailing address fax:** (718) 736-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 024350 | NY | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 01/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01983191 | — | NY |
| 01 | — | 3395666 | NCPDP | NY |