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Organization
TODT HILL PHARMACY INC
Active
Organization
TODT HILL PHARMACY INC
Active
Other names
PHARMACY ON WHEELS
Organization subpart
No
Provider details
NPI number
Authorized official
KHAIM AVULOV (PRESIDENT)
(718) 351-7363
Entity
Organization
Contact information
Practice address
2110G RICHMOND RD, STATEN ISLAND, NY 10306
(718) 351-7363
(718) 351-4972
Mailing address
2110 RICHMOND RD, STATEN ISLAND, NY 10306-2576
(718) 351-7363
(718) 351-4972
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025261
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226979
—
NY
01
—
2063869
PK
—
Enumeration date
11/07/2006
Last updated
03/22/2023
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