Organization
MNED INC
Active
Other names
AVE M PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARTOM RAFAELOV (PRESIDENT)
(718) 376-2836
Entity
Organization
Contact information
Practice address
1206 AVENUE M, BROOKLYN, NY 11230
(718) 376-2836
(718) 376-2833
Mailing address
1206 AVENUE M, BROOKLYN, NY 11230
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04591177
—
NY
Enumeration date
06/22/2016
Last updated
01/13/2022
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