Organization
AVON PHARMACY & SURGICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX MATHEW (PHARMACIST)
(718) 384-0630
Entity
Organization
Contact information
Practice address
82 GRAHAM AVE, BROOKLYN, NY 11206-3311
(718) 384-0630
Mailing address
82 GRAHAM AVE, BROOKLYN, NY 11206-3311
(718) 384-0630
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01718381
—
NY
Enumeration date
09/16/2006
Last updated
03/23/2017
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