AVENUE X PHARMACY INC
319 Avenue X
Brooklyn, NY 11223
718-375-3701
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | NY | 015660 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01017963 | NY | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 3318525 | OTHER |