Individual
ALEJO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
411 KING ST, CHAPPAQUA, NY 10514-3543
(914) 861-9130
Mailing address
411 KING ST, CHAPPAQUA, NY 10514-3543
(914) 861-9130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060009
NY
Other
Enumeration date
10/27/2014
Last updated
12/05/2021
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