Organization
JAY PHARMACY CORP
Active
Other names
SANTA MARIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH LALIWALA (PRESIDENT)
(212) 568-1383
Entity
Organization
Contact information
Practice address
1328 SAINT NICHOLAS AVE, NEW YORK, NY 10033-7213
(212) 568-1383
(212) 568-1382
Mailing address
1328 SAINT NICHOLAS AVE, NEW YORK, NY 10033-7213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02992914
—
NY
01
—
3352426
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2006
Last updated
06/09/2009
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