Organization
JKM DRUGS INC
Active
Other names
FARMACIA SAN RAFAEL
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MANOHARAN MA (OWNER)
(212) 923-4190
Entity
Organization
Contact information
Practice address
1479 SAINT NICHOLAS AVE, NEW YORK, NY 10033-4002
(212) 923-4190
(212) 740-0341
Mailing address
1479 SAINT NICHOLAS AVE, NEW YORK, NY 10033-4002
(212) 923-4190
(212) 740-0341
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
017050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319011
—
NY
01
—
2060981
PK
—
Enumeration date
10/07/2006
Last updated
09/27/2022
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