74-17 101 Ave Pharmacy Inc.
NPI #1316174659 in Ozone Park, New York
Provider Information
- NPI Number
- 1316174659
- Entity Type
- Organization
- Organization Name
- 74-17 101 Ave Pharmacy Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 13, 2009
- Last Updated
- Jun 13, 2009
Practice Location
- Address
- 7417 101ST AVE
- City
- Ozone Park
- State
- New York
- ZIP Code
- 11416-1026
- Phone
- (718) 296-1023
Authorized Official
- Name
- MR. JAVED AZIZ
- Title
- PRESIDENT
- Phone
- (718) 296-1023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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