Organization
MYVEN WELLNESS CORP.
Active
Other names
Myven Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATEF M. IBRAHIM (CORP. PRESIDENT)
(718) 779-8050
Entity
Organization
Contact information
Practice address
3535B JUNCTION BLVD, CORONA, NY 11368-3517
(718) 779-8050
(718) 779-8053
Mailing address
3535B JUNCTION BLVD, CORONA, NY 11368-3517
(718) 779-8050
(718) 779-8053
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/07/2020
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