Individual
AGNIESZKA LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
987 MANHATTAN AVE, BROOKLYN, NY 11222-6776
(718) 349-9009
Mailing address
8402 98TH ST FL 2, WOODHAVEN, NY 11421-1735
(646) 637-2010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047079-01
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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