Organization
AAUSADH INC
Active
Other names
AAUSADH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PUNITA J. KOTHARI RPH (CHIEF PHARMACIST)
(718) 972-2780
Entity
Organization
Contact information
Practice address
4615 5TH AVE, BROOKLYN, NY 11220-1254
(718) 972-2780
(718) 435-8081
Mailing address
4615 5TH AVE, BROOKLYN, NY 11220-1254
(718) 972-2780
(718) 435-8081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01539000
—
NY
Enumeration date
11/03/2006
Last updated
02/04/2008
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