Organization
30TH AVENUE PHARMACY INC
Active
Other names
30TH AVENUE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
AREEJ ABDULLAH (OWNER/TCH/AO)
(718) 777-8544
Entity
Organization
Contact information
Practice address
3506 30TH AVE, ASTORIA, NY 11103-4623
(718) 777-8544
(718) 777-8546
Mailing address
3506 30TH AVE, ASTORIA, NY 11103-4623
(718) 777-8544
(718) 777-8546
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159780
PK
—
05
—
PENDING
—
NY
Enumeration date
04/05/2016
Last updated
01/17/2024
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