Organization
AHV PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANISOV VITALIY (STORE OWNER)
(718) 740-1237
Entity
Organization
Contact information
Practice address
11150 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2542
(718) 740-1237
(718) 740-1085
Mailing address
11150 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2542
(718) 740-1237
(718) 740-1085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035539
NY
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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