Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Feb 26, 2010
License(s)
050469-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 10314 ROOSEVELT AVE | Corona, NY 11368-2330 | 718-264-2714 |
| MAILING | 10314 ROOSEVELT AVE | Corona, NY 11368-2330 | 718-426-4271 |
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