Individual
MICHAEL LEE LANDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 WINDSOR HWY, NEW WINDSOR, NY 12553-6982
(845) 562-4010
Mailing address
416 WINDSOR HWY, NEW WINDSOR, NY 12553-6982
(845) 562-4010
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
059693
NY
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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