Organization
AMI PHARMACY INC.
Active
Other names
ST JESUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RASIK VIKANI (PRESIDENT)
(212) 923-5733
Entity
Organization
Contact information
Practice address
4180 BROADWAY, NEW YORK, NY 10033-3736
(212) 923-5733
(212) 923-5748
Mailing address
4180 BROADWAY, NEW YORK, NY 10033-3736
(212) 923-5733
(212) 923-5748
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022847
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016412
—
NY
01
—
3385247
NCPDP
—
Enumeration date
10/03/2006
Last updated
02/05/2008
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