| NPI | 1669893079 |
|---|---|
| Doing Business As | 4TH AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD SIDDIUQE President 732-372-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032368) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-05-20 |