Organization
NISHKAM
Active
Other names
St Paul's Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAMALA IYER (PRESIDENT)
(718) 293-8810
Entity
Organization
Contact information
Practice address
3750A 3RD AVE, BRONX, NY 10456-2102
(718) 293-8810
(718) 293-8789
Mailing address
3750A 3RD AVE, BRONX, NY 10456-2102
(718) 293-8810
(718) 293-8789
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03662402
—
NY
01
—
2142035
PK
—
Enumeration date
05/23/2013
Last updated
08/30/2016
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