Organization
STORY AVE 24, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKHMED UMAROV (PRESIDENT)
(718) 912-5434
Entity
Organization
Contact information
Practice address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2923
(718) 822-2924
Mailing address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2923
(718) 822-2924
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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