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Organization

16TH AVE PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOLOMON GULYAMOV (OWNER)
(718) 686-8000
Entity
Organization

Contact information

Practice address
4605 16TH AVE, BROOKLYN, NY 11204-1105
(718) 686-8000
(718) 686-8001
Mailing address
4605 16TH AVE, BROOKLYN, NY 11204-1105
(718) 686-8000
(718) 686-8001

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
04/20/2020
Last updated
04/20/2020
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