Organization
PHARMACY 5TH AVE INC
Active
Other names
FIFTH AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB LEVIEV (PRESIDENT)
(646) 822-0909
Entity
Organization
Contact information
Practice address
1325 5TH AVE, NEW YORK, NY 10029
(646) 822-0909
Mailing address
1325 5TH AVE, NEW YORK, NY 10029-2660
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
09/09/2019
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