# WILLIS AVE RX LTD

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

## Provider details

- **NPI number:** 1639982606
- **Authorized official:** HARIS WAJAHAT (PRESIDENT)
- **Authorized official phone:** (516) 747-9100

## Contact information

- **Practice address:** 611 WILLIS AVE, WILLISTON PARK, NY 11596-1147
- **Practice address phone:** (516) 747-9100
- **Practice address fax:** (516) 747-9101
- **Mailing address:** 611 WILLIS AVE, WILLISTON PARK, NY 11596-1147
- **Mailing address phone:** (516) 747-9100
- **Mailing address fax:** (516) 747-9101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2025
- **Last updated:** 01/31/2025