Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jun 18, 2017
License(s)
062019-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1236 AVENUE S | Brooklyn, NY 11229-2732 | |
| LOCATION | 711 BEDFORD AVE | Brooklyn, NY 11206-5428 | 718-855-0214 |
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