Organization
AVE M PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT KHANIMOV (PRESIDENT)
(718) 376-2836
Entity
Organization
Contact information
Practice address
1206 AVENUE M, BROOKLYN, NY 11230-5204
(718) 376-2836
(718) 376-2833
Mailing address
1206 AVENUE M, BROOKLYN, NY 11230-5204
(718) 376-2836
(718) 376-2833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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