Organization
PRESCRIPTION AND VITAMIN WAREHOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NISHA SHARBO (PRESIDENT)
(718) 464-2400
Entity
Organization
Contact information
Practice address
18232 HILLSIDE AVE, JAMAICA, NY 11432-4837
(718) 464-2400
(718) 736-0600
Mailing address
18232 HILLSIDE AVE, JAMAICA, NY 11432-4837
(718) 464-2400
(718) 736-0600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
024350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01983191
—
NY
01
—
3395666
NCPDP
NY
Enumeration date
08/17/2005
Last updated
01/12/2023
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