# AVENUE PHARMACY INC.

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

## Provider details

- **NPI number:** 1548307861
- **Authorized official:** MRS. IFFAT RIZVI (PHARMACIST)
- **Authorized official phone:** (718) 361-0436

## Contact information

- **Practice address:** 1215 40TH AVE, LONG ISLAND CITY, NY 11101-6107
- **Practice address phone:** (718) 361-0436
- **Mailing address:** 1215 40TH AVE, LONG ISLAND CITY, NY 11101-6107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 021180 | NY | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01287636 | — | NY |