Organization
AVE Z PHARMACY
Active
Other names
MONICA'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
INEL LEVIYEVA (PHARMACIST)
(718) 332-7733
Entity
Organization
Contact information
Practice address
1324 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3920
(718) 332-7733
(718) 332-2971
Mailing address
1324 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3920
(718) 332-7733
(718) 332-2971
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030808
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03344772
—
NY
01
—
2132012
PK
—
Enumeration date
05/27/2011
Last updated
11/10/2016
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