Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Feb 4, 2007
License(s)
039688 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 922 MERRICK AVE | East Meadow, NY 11554-4747 | 516-565-1442 |
| LOCATION | 234 E 149TH ST | Bronx, NY 10451-5504 | 718-579-5523 |
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