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General NPI Number Information
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NPI Number | 1154867752
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Entity Type | Organization
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Legal Business Name | FIRST AVENUE DRUGS INC
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1925 DR MARTIN L KING JR BLVD
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City | BRONX
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State | NY
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Zip | 10453-4483
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Country | US
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Telephone | 347-750-5540
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Fax | 347-750-5541
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Provider Business Mailing Address
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Address Line | 1925 DR MARTIN L KING JR BLVD
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City | BRONX
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State | NY
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Zip | 10453-4483
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Country | US
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Telephone | 347-750-5540
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Fax | 347-750-5541
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJAN KOHLI
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Credential | RPH
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Telephone | 646-750-3744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 035105
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License Number State | NY
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