# NIKI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HIGH ST DISCOUNT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609308543
- **Authorized official:** KIRTAN PATEL (PRESIDENT)
- **Authorized official phone:** (240) 448-3301

## Contact information

- **Practice address:** 30 HIGH ST, WALDORF, MD 20602-1846
- **Practice address phone:** (201) 744-0481
- **Practice address fax:** (240) 448-3302
- **Mailing address:** 30 HIGH ST, WALDORF, MD 20602-1846
- **Mailing address phone:** (240) 448-3301
- **Mailing address fax:** (240) 448-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | P06652 | MD | Yes |

## Other

- **Enumeration date:** 03/30/2017
- **Last updated:** 03/30/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2167763 | PK | — |
| 05 | — | 541065700 | — | MD |