Organization
AVENUE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IFFAT RIZVI (PHARMACIST)
(718) 361-0436
Entity
Organization
Contact information
Practice address
1215 40TH AVE, LONG ISLAND CITY, NY 11101-6107
(718) 361-0436
Mailing address
1215 40TH AVE, LONG ISLAND CITY, NY 11101-6107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021180
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287636
—
NY
Enumeration date
01/30/2007
Last updated
08/22/2020
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