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A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient?s use in the home and that are usable for an extended period of time.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1659369783 |
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| LBN Legal business name | 5TH AVE DRUG, INC | ||||||||||||
| Authorized official | TOMAS DIAZ - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/12/2005 | ||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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5TH AVE DRUG, INC