Organization
NIKI LLC
Active
Other names
High St Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIRTAN PATEL (PRESIDENT)
(240) 435-2751
Entity
Organization
Contact information
Practice address
30 HIGH ST, WALDORF, MD 20602-1846
(240) 435-2751
(240) 607-6754
Mailing address
30 HIGH ST, WALDORF, MD 20602-1846
(240) 435-2751
(240) 607-6754
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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