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NPI 1417448945

OrganizationActive

1400 St Nicholas LLC

NPI 1417448945 · Community/Retail Pharmacy · New York, NY

Provider details

NPI number: 1417448945
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Maria Favale, Supervising Pharmacist

Practice location

1400 Saint Nicholas Ave

New York, NY 10033-4027

Phone: (212) 568-5454

Fax: (212) 568-5340

More NY providers

Mailing address

1400 Saint Nicholas Ave

New York, NY 10033-4027

Registry dates

Enumerated: 2018-05-21
Last updated: 2023-12-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1400 St Nicholas LLC — NPI 1417448945, New York, NY | NPI Central