Individual
JEFFERY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 472-5800
Mailing address
2248 35TH ST # 2R, ASTORIA, NY 11105-2207
(626) 373-5881
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
068198
NY
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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