Individual
TAMARA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
(917) 780-9167
Mailing address
31 LUCILLE LN, DIX HILLS, NY 11746-5848
(917) 780-9167
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
067078
NY
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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