Organization
AVNI INC
Active
Other names
Avni Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LIZARDO (PHARMACIST IN CHARGE)
(301) 703-8836
Entity
Organization
Contact information
Practice address
2702 BACK ACRE CIR STE 190-B, MOUNT AIRY, MD 21771-7769
(301) 703-8836
(301) 703-8876
Mailing address
2702 BACK ACRE CIR, SUITE 190-B, MOUNT AIRY, MD 21771-7769
(301) 703-8836
(301) 703-8876
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06847
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154674
PK
—
Enumeration date
08/04/2015
Last updated
01/13/2016
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