Individual
MR. ALQI MIZAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 EDMAR CT, HENRIETTA, NY 14467-9625
(585) 321-1825
Mailing address
31 EDMAR CT, HENRIETTA, NY 14467-9625
(585) 321-1825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049606
NY
Other
Enumeration date
11/10/2007
Last updated
11/10/2007
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