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Organization
THIRD AVE APOTHECARY INC
Active
Organization
THIRD AVE APOTHECARY INC
Active
Other names
Third Ave Apothecary, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
AZAR KAMKHEHJI (PRESIDENT)
(212) 230-1700
Entity
Organization
Contact information
Practice address
1025A 3RD AVE, NEW YORK, NY 10065-8501
(212) 230-1700
(212) 230-1100
Mailing address
1025A 3RD AVE, NEW YORK, NY 10065-8501
(212) 230-1700
(212) 230-1100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
036431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176838
PK
—
Enumeration date
11/20/2017
Last updated
07/19/2018
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