99-24 65rd

NPI 1225310923 - Pharmacy - 333600000X

NPI Details
NPI 1225310923
Enumeration Date 09/19/2011
Last Updated 09/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MAZOL MAZOL
Position PHARMACIST
Phone (646) 785-5074
Fax
Practice Location
9924 65TH RD
REGO PARK NY, 11374-3655, US
Phone (646) 785-5074
Fax
Business Location
9924 65TH RD
REGO PARK NY, 11374-3655, US
Phone (646) 785-5074
Fax
Toxanomy
Taxonomy Code 333600000X
License State New York
License Number 20056294
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According to our database, 99-24 65rd NPI is 1225310923, taxonomy code is 333600000X and license number is 20056294, license state is located at New York. 99-24 65rd physically located at 9924 65th Rd, Rego Park NY, 11374-3655. NPI Number 1033115704 has the healthcare provider type.

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1225310923 NPI number is provided on an as is basis without warranty of any kind. 1225310923 is maintained by the National Plan & Provider Enumeration System. The contents of 99-24 65rd are for informational purposes only.