Organization
AVENUE CHEMISTS INC
Active
Other names
AVENUE CHEMISTS INC
Organization subpart
No
Provider details
NPI number
Authorized official
STELLAMARIA VIKATOS (PHARMACIST)
(718) 545-1010
Entity
Organization
Contact information
Practice address
4501 30TH AVE, ASTORIA, NY 11103-1261
(718) 545-1010
(718) 545-1542
Mailing address
4501 30TH AVE, ASTORIA, NY 11103-1261
(718) 545-1010
(718) 545-1542
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133901
PK
—
05
—
3461869
—
NY
Enumeration date
09/15/2011
Last updated
10/31/2014
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