Individual
DYLAN S BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
728 BURT RD, LITTLE FALLS, NY 13365-6126
(315) 717-5200
Mailing address
728 BURT RD, LITTLE FALLS, NY 13365-6126
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
093405
NY
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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