NPI | 1457769630 |
---|---|
Doing Business As | CENTRAL AVE PHARMACY |
Entity Type | Organization |
Authorized Contact | AMROU H ELDSOKY Owner 718-942-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2014-07-31 |
Last Update Date | 2015-06-29 |