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NPI Code Detail

MEDICARE: OVAL PHARMACY CORP

MEDICARE: OVAL PHARMACY CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1750789830
Entity Type Code : Organization
Provider Name (Legal Business Name) : OVAL PHARMACY CORP
Provider Business Mailing Address
First Line : 1500 METROPOLITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-6801
Country : US
Telephone Number : 718-823-0688
Fax Number : 718-823-1149
Provider Business Practice Location Address
First Line : 1500 METROPOLITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-6801
Country : US
Telephone Number : 718-823-0688
Fax Number : 718-823-1149
Authorized Official
Title or Position : PRESIDENT
Name : JAYSHREE DESAI
Credential :
Telephone Number : 718-823-0688
Provider Enumeration Date : 12/05/2014
Last Update Date : 12/05/2014

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Directions to “OVAL PHARMACY CORP ” Practice Location

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