Organization
2000 NINOS PHARMACY,INC
Active
Other names
2000 NINOS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANICKARAJAN PILLAY RPH (PRESIDENT)
(212) 491-2910
Entity
Organization
Contact information
Practice address
601 W 150TH ST, NEW YORK, NY 10031-2449
(212) 491-2910
(212) 491-9996
Mailing address
3663 BROADWAY, NEW YORK, NY 10031-2449
(212) 491-2910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022880
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01633036
—
NY
01
—
3313789
OTHER ID NUMBER
—
Enumeration date
03/21/2006
Last updated
08/15/2012
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