# BHOLE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 2000 Ninos Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700253713
- **Authorized official:** ASHISH SEVAK (R.PH.)
- **Authorized official phone:** (212) 491-2910

## Contact information

- **Practice address:** 3663 BROADWAY, NEW YORK, NY 10031-1502
- **Practice address phone:** (212) 491-2910
- **Practice address fax:** (212) 491-9996
- **Mailing address:** 3663 BROADWAY, NEW YORK, NY 10031-1502
- **Mailing address phone:** (212) 491-2910
- **Mailing address fax:** (212) 491-9996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 034130 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2015
- **Last updated:** 08/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162507 | PK | — |
