Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Apr 2, 2009
License(s)
048575 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4306 20TH RD | Astoria, NY 11105-1244 | 516-605-4525 |
| LOCATION | 715 KNICKERBOCKER AVE | Brooklyn, NY 11221-5337 | 718-381-7360 |
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