Avicennarx LLC
NPI #1578093621 in North Babylon, New York
Provider Information
- NPI Number
- 1578093621
- Entity Type
- Organization
- Organization Name
- Avicennarx LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 12, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 66 DEER SHORE SQ
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-1207
- Phone
- (631) 940-5555
Authorized Official
- Name
- DAVID AZIZ, PHARMD
- Title
- MEMBER
- Phone
- (631) 940-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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