Organization
4TH AVE PHARMACY INC.
Active
Other names
4TH AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD SIDDIUQE (PRESIDENT)
(732) 372-1023
Entity
Organization
Contact information
Practice address
5002 4TH AVE, BROOKLYN, NY 11220-1814
(718) 492-1500
(718) 492-4028
Mailing address
5002 4TH AVE, BROOKLYN, NY 11220-1814
(718) 492-1500
(718) 492-4028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03848102
—
NY
Enumeration date
01/02/2014
Last updated
06/05/2025
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