Individual
BENJAMIN MIN HYUN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12704 GUY R BREWER BLVD, JAMAICA, NY 11434-2955
(718) 978-4485
Mailing address
29 LAKESIDE DR, ROCKVILLE CENTRE, NY 11570-2309
(516) 521-2449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067335
NY
Other
Enumeration date
11/03/2020
Last updated
08/10/2024
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