Organization
ETHICAL DRUG INC
Active
Other names
san nicholas pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ DESAI (PHARMACIST)
(212) 781-4214
Entity
Organization
Contact information
Practice address
1265 SAINT NICHOLAS AVE, NEW YORK, NY 10033-7266
(212) 781-4214
(212) 281-4758
Mailing address
1265 SAINT NICHOLAS AVE, NEW YORK, NY 10033-7266
(212) 781-4214
(212) 781-4758
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125491
PK
—
05
—
3179691
—
NY
Enumeration date
11/19/2009
Last updated
10/11/2013
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