Individual
CAROLIN A MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6620 251ST ST, LITTLE NECK, NY 11362-2304
(347) 608-5525
Mailing address
6620 251ST ST, LITTLE NECK, NY 11362-2304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068339
NY
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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