Individual
DR. ALEXANDER PAUL BOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1740 BROADWAY, HEWLETT, NY 11557-1601
(516) 887-3298
Mailing address
1740 BROADWAY, HEWLETT, NY 11557-1601
(516) 887-3298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057747
NY
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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