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Organization
WALGREENS
Active
Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOFOROS MANESSIS (PHARMACIST)
(718) 481-6206
Entity
Organization
Contact information
Practice address
14580 FARMERS BLVD, JAMAICA, NY 11434-5242
(718) 481-6206
Mailing address
14580 FARMERS BLVD, JAMAICA, NY 11434-5242
(718) 481-6206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059358-1
NY
Other
Enumeration date
07/21/2014
Last updated
07/04/2015
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