Organization
CORNER PHARMACY ST NICHOLAS WH LLC
Active
Other names
CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JITENDRA PATEL (OFFICER)
(212) 951-0067
Entity
Organization
Contact information
Practice address
1428 SAINT NICHOLAS AVE, NEW YORK, NY 10033-4025
(212) 951-0067
Mailing address
1428 SAINT NICHOLAS AVE, NEW YORK, NY 10033-4025
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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