| NPI | 1285158501 |
|---|---|
| Doing Business As | FIFTH AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACOB LEVIEV President 646-822-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-09-09 |