Organization
ST. JESUS PHARMACY CORP
Active
Other names
ST JESUS PHARMACY LTC
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
(212) 923-5748
Mailing address
4180 BROADWAY, NEW YORK, NY 10033-3767
(212) 923-5733
(212) 923-5748
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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