# ADUWA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518095827
- **Authorized official:** PETER M PERVAZ (MANAGER)
- **Authorized official phone:** (718) 322-9709

## Contact information

- **Practice address:** 114-10 SUTPHIN BLVD., JAMAICA, NY 11434
- **Practice address phone:** (178) 322-9709
- **Practice address fax:** (718) 322-5115
- **Mailing address:** 114-10 SUTPHIN BLVD, JAMAICA, NY 11434
- **Mailing address phone:** (178) 322-9709
- **Mailing address fax:** (718) 322-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 023542 | NY | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02633392 | — | NY |