Organization
ELENI INTERNATIONAL INC
Active
Other names
New London Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AVGERINI MOUZAKITIS-FAZIO RPH (VICE PRESIDENT)
(212) 414-9755
Entity
Organization
Contact information
Practice address
246 8TH AVE, 2ND FLOOR SUITE A, NEW YORK, NY 10011-1646
(212) 414-9755
(212) 414-9752
Mailing address
246 8TH AVE, 2ND FLOOR SUITE A, NEW YORK, NY 10011-1646
(212) 414-9755
(212) 414-9752
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032291
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03876726
—
NY
01
—
2134878
PK
—
Enumeration date
11/10/2011
Last updated
03/23/2017
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