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Organization

GULSHAN AVE LLC

Active
Other names
Gulshan Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SHARMIN HAQ (OWNER)
(718) 672-5500
Entity
Organization

Contact information

Practice address
73-21 BROADWAY, JACKSON HEIGHTS, NY 11372
(718) 672-5500
(718) 672-5600
Mailing address
73-21 BROADWAY, JACKSON HEIGHTS, NY 11372
(718) 672-5500
(718) 672-5600

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034473
NY

Other

Enumeration date
05/27/2016
Last updated
10/17/2018
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