Organization
ST. JESUS PHARMACY CORP
Active
Other names
ST. JESUS PHARMACY
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
Mailing address
4180 BROADWAY, NEW YORK, NY 10033-3767
(212) 923-5733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/24/2023
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