| NPI | 1285748251 |
|---|---|
| Doing Business As | 18TH AVE PHARMACY CORP |
| Entity Type | Organization |
| Authorized Contact | GRIGORY BEYLIK President 718-331-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 025629) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2014-11-25 |