Organization
74-17 101 AVE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVED AZIZ (PRESIDENT)
(718) 296-1023
Entity
Organization
Contact information
Practice address
7417 101ST AVE, OZONE PARK, NY 11416-1026
(718) 296-1023
(718) 296-1023
Mailing address
7417 101ST AVE, OZONE PARK, NY 11416-1026
(718) 296-1023
(718) 296-1023
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
TF-2671820
NY
Other
Enumeration date
06/13/2009
Last updated
06/13/2009
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