| 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 |