| NPI | 1750688602 |
|---|---|
| Doing Business As | MORRIS AVE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | IRINA ARONOVA Sp 718-292-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030468) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2013-08-21 |