Organization
AVS PHARMACY/DBA: LEROY PHARMACY
Active
Other names
LEROY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY V DHADUK RPH (PRESIDENT)
(718) 882-5614
Entity
Organization
Contact information
Practice address
314 E 204TH ST, BRONX, NY 10467-4602
(718) 882-5614
(718) 882-6365
Mailing address
314 EAST 204 ST, BRONX, NY 10467-4706
(718) 882-5614
(718) 882-6365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
023616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01871374
—
NY
01
—
3388584
NABP OR NCPDP #
NY
Enumeration date
11/28/2005
Last updated
04/05/2012
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