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General NPI Number Information
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NPI Number | 1992276588
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Entity Type | Organization
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Legal Business Name | JAY VIDHI PHARMACY LLC
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Dates
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Enumeration Date | 12/08/2018
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 967 N BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-1301
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Country | US
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Telephone | 914-999-3199
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Fax |
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Provider Business Mailing Address
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Address Line | 27 ANDREA LN
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City | SCARSDALE
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State | NY
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Zip | 10583-3115
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PRAVIN PATEL
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Credential |
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Telephone | 914-826-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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