| NPI | 1821729294 |
|---|---|
| Doing Business As | THIRD AVE APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | AZAR KAMKHEHJI Pharmacist 917-887-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |