Organization
16TH AVENUE DRUG CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARKAIDY MATATOV (PRESIDENT)
(646) 209-5721
Entity
Organization
Contact information
Practice address
4408 16TH AVE, BROOKLYN, NY 11204-1012
(718) 871-6700
Mailing address
4408 16TH AVE, BROOKLYN, NY 11204-1012
(718) 871-6700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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