NPI | 1700114790 |
---|---|
Doing Business As | CHURCH AVE PHARMACY INC |
Entity Type | Organization |
Authorized Contact | YEFIM BUBIS Supervisor Pharmacist 718-941-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 029857) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2023-06-02 |