Organization
AVI PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAKHRAMON FAYZIEV (PRESIDENT)
(516) 304-5602
Entity
Organization
Contact information
Practice address
554 NORTHERN BLVD, GREAT NECK, NY 11021-5105
(516) 439-4055
(516) 439-4054
Mailing address
554 NORTHERN BLVD, GREAT NECK, NY 11021-5105
(516) 439-4055
(516) 439-4054
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
08/11/2025
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