| NPI | 1881932093 |
|---|---|
| Doing Business As | PARK AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SYED M HUSSAINI Managing Agent 201-552-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00724100) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NJ 28RS00724100) |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: NJ 28RS00724100) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2023-01-25 |