| NPI | 1235318940 |
|---|---|
| Doing Business As | MEDICINE AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEV ZAVULUNOV Pharmacist 516-829-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 028586) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |