NPI | 1053805788 |
---|---|
Doing Business As | 5TH AVE PHARMACY |
Entity Type | Organization |
Authorized Contact | FADY HUSSEIN Owner 917-319-5551 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 036678) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-06-16 |
Last Update Date | 2025-04-08 |