Organization · NPI-2

21 Ave Pharmacy & Medical Supply INC.

Durable Medical Equipment & Medical Supplies · Brooklyn, NY

NPI number1144843566
StatusActive
Last updated in NPPESMar 18, 2021

Details

NPI
1144843566
Entity type
Organization (NPI-2)
Legal business name
21 Ave Pharmacy & Medical Supply INC.
Organization subpart
No
Enumeration date
May 20, 2020
Certification date
Mar 18, 2021
Last updated
Mar 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

8511 21st Ave
Brooklyn, NY 11214-3207

Phone 718-449-4949

Mailing address

8511 21st Ave
Brooklyn, NY 11214-3207

Authorized official

Issam Salameh
Treasurer
7184494949

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