Individual
ALICE SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-9660
Mailing address
21946 64TH AVE APT C, BAYSIDE, NY 11364-2273
(347) 751-4049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072903
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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