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Individual
RICKY TSE
Active
Individual
RICKY TSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050214
NY
3336C0003X
Community/Retail Pharmacy
027749
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02770794
—
NY
Enumeration date
08/22/2008
Last updated
08/22/2008
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