Organization
KMN PHARMACY CORP
Active
Other names
OVAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HIRA DESAI (PRESIDENT)
(718) 654-2200
Entity
Organization
Contact information
Practice address
255 E GUN HILL RD, BRONX, NY 10467-2109
(718) 654-2200
(718) 515-9118
Mailing address
255 E GUN HILL RD, BRONX, NY 10467-2109
(718) 654-2200
(718) 515-9118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
024537
NY
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01932829
—
NY
01
—
3302421
OTHER ID NUMBER
—
Enumeration date
11/08/2005
Last updated
08/22/2024
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