Organization
41 AVENUE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRISTAN LIU (PRESIDENT)
(646) 504-7321
Entity
Organization
Contact information
Practice address
13633 37TH AVE UNIT 1A, FLUSHING, NY 11354-4110
(718) 353-8600
Mailing address
136-33 37TH AVENUE UNIT #1, FLUSHING, NY 11354-5874
(718) 353-8600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031475
NY
Other
Enumeration date
09/10/2012
Last updated
02/10/2017
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