Organization
3817 BROADWAY PHARMACY
Active
Other names
VIM DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MANICKARAJAN PILLAY RPH (PRESIDENT)
(212) 927-0220
Entity
Organization
Contact information
Practice address
3835 BROADWAY, NEW YORK, NY 10032-1547
(212) 927-0220
(212) 927-8651
Mailing address
3835 BROADWAY, NEW YORK, NY 10032-1575
(212) 927-0220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01266022
—
NY
01
—
3318878
OTHER ID NUMBER
—
Enumeration date
09/27/2006
Last updated
08/15/2012
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