Organization
MR TEES PHARMACY INC
Active
Other names
Mr Tee's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN AVULOV (OWNER)
(718) 588-8337
Entity
Organization
Contact information
Practice address
51 E 167TH ST, BRONX, NY 10452-8206
(718) 588-8337
(718) 588-0050
Mailing address
51 E 167TH ST, BRONX, NY 10452-8206
(718) 588-8337
(718) 588-0050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143283
PK
—
Enumeration date
11/26/2013
Last updated
06/17/2014
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