Organization
AVICENNARX LLC
Active
Other names
Crown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AZIZ PHARMD (MEMBER)
(631) 940-5555
Entity
Organization
Contact information
Practice address
66 DEER SHORE SQ, NORTH BABYLON, NY 11703-1207
(631) 940-5555
(631) 940-5656
Mailing address
66 DEER SHORE SQ, NORTH BABYLON, NY 11703-1207
(631) 940-5555
(631) 940-5656
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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