Organization
MORRIS AVE PHARMACY INC
Active
Other names
MORRIS AVE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA ARONOVA RPH (SP)
(718) 292-2500
Entity
Organization
Contact information
Practice address
675 MORRIS AVE, BRONX, NY 10451-4783
(718) 292-2500
(718) 292-2600
Mailing address
675 MORRIS AVE, BRONX, NY 10451-4783
(718) 292-2500
(718) 292-2600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030468
NY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03319835
—
NY
01
—
5801926
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/11/2011
Last updated
08/21/2013
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