NPI | 1124032545 |
---|---|
Doing Business As | UNIVERSITY AVENUE PHARMACY |
Entity Type | Organization |
Authorized Contact | DHANESH BHOGILAL SHAH V.P Supervising Pharmacist 718-220-4253 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023454) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2015-02-04 |