| NPI | 1083435416 |
|---|---|
| Doing Business As | ST JESUS PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | VIRAJ DESAI President 212-923-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |