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Organization
PARK AVENUE CHEMISTS
Active
Organization
PARK AVENUE CHEMISTS
Active
Other names
Boghen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GENNARDO R.PH. (SUPERVISING PHARMACIST)
(212) 289-5866
Entity
Organization
Contact information
Practice address
1080 PARK AVE, NEW YORK, NY 10128-1167
(212) 289-5866
(212) 289-2005
Mailing address
1080 PARK AVE, NEW YORK, NY 10128-1167
(212) 289-5866
(212) 289-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
037972
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3337880
NABP
NY
Enumeration date
09/24/2006
Last updated
06/27/2008
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