| NPI | 1629538020 |
|---|---|
| Doing Business As | 18TH AVENUE PHAMRACY |
| Entity Type | Organization |
| Authorized Contact | SAM GUTMAN Manger / Member 718-331-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2021-11-01 |