Organization
35 VALLEY AVE LLC
Active
Other names
ahma Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JOO SEONG LEE (PRESIDENT)
(914) 924-9210
Entity
Organization
Contact information
Practice address
35 VALLEY AVE, ELMSFORD, NY 10523-3001
(914) 840-5027
(914) 840-5022
Mailing address
35 VALLEY AVE STE A, ELMSFORD, NY 10523-3001
(914) 840-5027
(914) 840-5022
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06447176
—
NY
Enumeration date
08/14/2019
Last updated
08/25/2021
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