Organization
FIRST AVE PHARM RX, LLC
Active
Other names
FIRST AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA LEVY (PRESIDENT)
(212) 970-1765
Entity
Organization
Contact information
Practice address
1765 1ST AVE, NEW YORK, NY 10128-5276
(212) 970-1765
(212) 970-1766
Mailing address
1765 1ST AVE, NEW YORK, NY 10128-5276
(212) 970-1765
(212) 970-1766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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