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Organization
AVA KIRELLOUS LTD
Active
Organization
AVA KIRELLOUS LTD
Active
Other names
Wellness Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P SU (SUPERVISING PHARMACIST)
(212) 439-4718
Entity
Organization
Contact information
Practice address
144 W 72ND ST, NEW YORK, NY 10023-3344
(212) 439-4718
(212) 439-4719
Mailing address
144 W 72ND ST, NEW YORK, NY 10023-3344
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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