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Individual
MS. JANET A DISTEFANO
Active
Individual
MS. JANET A DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033888
NY
183500000X
Pharmacist
Primary
33888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568624278
NPI
NY
01
—
3358238
NCPDP PROVIDER IDENTIFICATION NUMBER
NY
Enumeration date
01/02/2008
Last updated
04/18/2017
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