Organization
5TH AVENUE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVRAHAM PUDEL (PESIDENT)
(718) 439-8585
Entity
Organization
Contact information
Practice address
4818 5TH AVE, BROOKLYN, NY 11220-1936
(718) 439-8585
(718) 439-8567
Mailing address
4818 5TH AVE, BROOKLYN, NY 11220-1936
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027438
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703840
—
NY
01
—
3347994
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
02/27/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us