Individual
ANN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 ROUTE 112, MEDFORD, NY 11763-2551
(631) 475-4476
Mailing address
2612 ROUTE 112, MEDFORD, NY 11763-2522
(631) 693-1403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034220
NY
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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