Individual ProviderArumugam ManoharanPharmacistPharmacy Service ProvidersPractice Address1479 Saint Nicholas Ave, New York, NY 10033-4002(212) 923-4190PECOS EnrollmentBased on the most recent information from CMS, provider Arumugam Manoharan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1558684860Provider TypeIndividualFull NameManoharan, ArumugamCredentialRPHGenderMaleSole ProprietorNoEnumeration Date3/2/2010Last Updated3/2/2010Contact InformationPractice LocationPractice Address1479 Saint Nicholas Ave, New York, NY 10033-4002Phone(212) 923-4190Fax(212) 740-0341Mailing LocationMailing Address1479 St.Nicholas Av., New York, NY 10033Phone(212) 923-4190Fax(212) 740-0341Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense31821New York