Organization
SOHAN RX INC
Active
Other names
Avenue C Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK SHAH (PRESIDENT)
(908) 246-8013
Entity
Organization
Contact information
Practice address
178 AVENUE C, NEW YORK, NY 10009-4235
(212) 228-0764
(212) 529-2859
Mailing address
178 AVENUE C, NEW YORK, NY 10009-4235
(212) 228-0764
(212) 529-2859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033360
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04094804
—
NY
01
—
2149680
PK
—
Enumeration date
10/27/2006
Last updated
10/04/2016
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