| NPI | 1568790111 |
|---|---|
| Doing Business As | SAN NICHOLAS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAJ DESAI Pharmacist 212-781-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030032) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2013-10-11 |