Individual
CHARLES STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131-07 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420
(718) 322-5000
Mailing address
13107 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-2931
(718) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031365-1
NY
Other
Enumeration date
02/23/2010
Last updated
05/05/2017
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