Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Mar 18, 2024
License(s)
071381 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6220 11TH AVE | Brooklyn, NY 11219-5204 | 718-745-5499 |
| MAILING | 27 KENMORE ST | Staten Island, NY 10312-1412 |
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