| NPI | 1003853953 |
|---|---|
| Doing Business As | AVENUE X PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD RANDAZZO President 718-375-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 015660) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-02-13 |