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NPI Provider: 1659369783
Contact Name: DIAZ TOMAS
Position: president
Phone: (631) 231-4960
5th Ave Drug, Inc Information:
5th Ave Drug, Inc organization have npi 1659369783, taxonomy code is 333600000X with license number is 20130 in . This Business address located in 1805 B FIFTH Ave., BAY SHORE, NY 11706 New York. Get directions of 5th Ave Drug, Inc.
Practice Location
Address: 1805 5th Ave, Bay Shore, NY 11706
Phone: (631) 231-4960
Business Location
Address: 1805 B FIFTH Ave., BAY SHORE, NY 11706
Phone: (631) 231-4960
Fax: (631) 231-0368
Taxonomy
Taxonomy Code: 333600000X
License Number: 20130
License Number of State: NY
Primary Taxonomy Switch: X
Enumeration Date: 10/12/2005
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