| NPI | 1598279036 |
|---|---|
| Doing Business As | THIRD AVE APOTHECARY, INC |
| Entity Type | Organization |
| Authorized Contact | AZAR KAMKHEHJI President 212-230-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 036431) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-07-19 |