74-17 101 Ave Pharmacy INC.
Pharmacy, Community/Retail Pharmacy in Ozone Park, NY. Organization (NPI-2).
NPI number1316174659
StatusActive
Last updated in NPPESJun 13, 2009
Details
- NPI
- 1316174659
- Entity type
- Organization (NPI-2)
- Legal business name
- 74-17 101 Ave Pharmacy INC.
- Organization subpart
- No
- Enumeration date
- Jun 13, 2009
- Last updated
- Jun 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | TF-2671820 | NY | Yes |
Practice location
7417 101st AveOzone Park, NY 11416-1026
Phone 718-296-1023 · Fax 718-296-1023
Mailing address
7417 101st AveOzone Park, NY 11416-1026
Phone 718-296-1023 · Fax 718-296-1023
Authorized official
Javed Aziz
President
7182961023
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