# AVS PHARMACY/DBA: LEROY PHARMACY

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

## Provider details

- **NPI number:** 1558344101
- **Authorized official:** MR. JAY V DHADUK RPH (PRESIDENT)
- **Authorized official phone:** (718) 882-5614

## Contact information

- **Practice address:** 314 E 204TH ST, BRONX, NY 10467-4602
- **Practice address phone:** (718) 882-5614
- **Practice address fax:** (718) 882-6365
- **Mailing address:** 314 EAST 204 ST, BRONX, NY 10467-4706
- **Mailing address phone:** (718) 882-5614
- **Mailing address fax:** (718) 882-6365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 023616 | NY | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 04/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01871374 | — | NY |
| 01 | — | 3388584 | NABP OR NCPDP \# | NY |