# AVENUE X PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVENUE X PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003853953
- **Authorized official:** RONALD RANDAZZO (PRESIDENT)
- **Authorized official phone:** (718) 375-3701

## Contact information

- **Practice address:** 319 AVENUE X, BROOKLYN, NY 11223-5933
- **Practice address phone:** (718) 375-3701
- **Practice address fax:** (718) 645-7544
- **Mailing address:** 319 AVENUE X, BROOKLYN, NY 11223-5933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 015660 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 02/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01017963 | — | NY |
| 01 | — | 3318525 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |