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Organization

AVALON PHARMACY INC

Active
Other names
Avalon Chemists
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN L MOY (PRESIDENT)
(212) 260-3131
Entity
Organization

Contact information

Practice address
7 2ND AVE, NEW YORK, NY 10003-8674
(212) 260-3131
(212) 260-3155
Mailing address
7 2ND AVE, NEW YORK, NY 10003-8674
(212) 260-3131
(212) 260-3155

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
029728
NY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3158472
NY
01
3363203
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
11/10/2009
Last updated
05/08/2018
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