Organization
AVZ CORP
Active
Other names
AV PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RACHANA WALTER (PHARMACIST OWNER)
(718) 271-1262
Entity
Organization
Contact information
Practice address
9461 CORONA AVE, ELMHURST, NY 11373-2830
(718) 271-1262
(718) 271-3157
Mailing address
9461 CORONA AVE, ELMHURST, NY 11373-2830
(718) 271-1262
(718) 271-3157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02700567
—
NY
01
—
2066187
PK
—
Enumeration date
08/03/2006
Last updated
11/26/2014
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