Organization
37TH AVE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA AYORINDE (SUPERVISING PHARMACIST)
7184248684036
Entity
Organization
Contact information
Practice address
9507 37TH AVE, JACKSON HEIGHTS, NY 11372-8024
(718) 424-8684
Mailing address
9507 37TH AVE, JACKSON HEIGHTS, NY 11372-8024
(718) 424-8684
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
059015
NY
3336C0003X
Community/Retail Pharmacy
Primary
059015
NY
3336C0004X
Compounding Pharmacy
059015
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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