Individual
ANNE N/A LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4512 79TH ST, ELMHURST, NY 11373-3534
(646) 204-9971
Mailing address
4512 79TH ST, ELMHURST, NY 11373-3534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064634
NY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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