Xystus B Nicome PHARMACIST

NPI 1245412865 - Pharmacist - 183500000X

NPI Details
NPI 1245412865
Gender Male
Enumeration Date 12/05/2007
Last Updated 12/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
750 NEW YORK AVE
BROOKLYN NY, 11203-2028, US
Phone (718) 941-8694
Fax
Business Location
245 CLERMONT AVE
BROOKLYN NY, 11205-4010, US
Phone (718) 930-7310
Fax
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 041572
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According to our database, Xystus B Nicome PHARMACIST NPI is 1245412865, taxonomy code is 183500000X and license number is 041572, license state is located at New York. Xystus B Nicome PHARMACIST physically located at 750 New York Ave, Brooklyn NY, 11203-2028. NPI Number Xystus B Nicome PHARMACIST has the Individual type.

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1245412865 NPI number is provided on an as is basis without warranty of any kind. 1245412865 is maintained by the National Plan & Provider Enumeration System. The contents of Xystus B Nicome PHARMACIST are for informational purposes only.