Organization
MEMORIAL SLOAN-KETTERING CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA BOULOS PHARMD (PHARMACIST)
(908) 930-6670
Entity
Organization
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(908) 930-6670
Mailing address
26 ELM ST, EAST BRUNSWICK, NJ 08816-2339
(908) 930-6670
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
055828
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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