| NPI | 1790867588 |
|---|---|
| Doing Business As | SECOND AVE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | VENKATA DONDAPATI Partner And Supervising Phcst 212-876-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026821) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-07-07 |