Provider Demographics
NPI:1346392529
Name:MANUIHAR PHARMACY INC
Entity Type:Organization
Organization Name:MANUIHAR PHARMACY INC
Other - Org Name:MANUIHAR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PUJARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-561-4040
Mailing Address - Street 1:2343 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-8111
Mailing Address - Country:US
Mailing Address - Phone:718-561-4040
Mailing Address - Fax:718-561-5237
Practice Address - Street 1:2343 ARTHUR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-8111
Practice Address - Country:US
Practice Address - Phone:718-561-4040
Practice Address - Fax:718-561-5237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0255873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2063683OtherPK
NY02335151Medicaid