Organization
BHOLE PHARMACY INC
Active
Other names
2000 Ninos Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH SEVAK (R.PH.)
(212) 491-2910
Entity
Organization
Contact information
Practice address
3663 BROADWAY, NEW YORK, NY 10031-1502
(212) 491-2910
(212) 491-9996
Mailing address
3663 BROADWAY, NEW YORK, NY 10031-1502
(212) 491-2910
(212) 491-9996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034130
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162507
PK
—
Enumeration date
08/25/2015
Last updated
08/15/2016
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