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Organization
AVENUE X PHARMACY INC
Active
Organization
AVENUE X PHARMACY INC
Active
Other names
AVENUE X PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RANDAZZO (PRESIDENT)
(718) 375-3701
Entity
Organization
Contact information
Practice address
319 AVENUE X, BROOKLYN, NY 11223-5933
(718) 375-3701
(718) 645-7544
Mailing address
319 AVENUE X, BROOKLYN, NY 11223-5933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
015660
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01017963
—
NY
01
—
3318525
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
02/13/2008
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