Organization
NIKI 2 LLC
Active
Other names
MED-SURG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAPIL HARKHANI (PHARMACY MANAGER)
(240) 903-3949
Entity
Organization
Contact information
Practice address
3037 MARSHALL HALL RD, BRYANS ROAD, MD 20616-3240
(240) 903-3949
(240) 903-3914
Mailing address
3037 MARSHALL HALL RD, BRYANS ROAD, MD 20616-3240
(240) 903-3949
(240) 903-3914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07704
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175453
PK
—
05
—
663229700
—
MD
Enumeration date
01/05/2018
Last updated
04/18/2018
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