Individual
MR. ANTHONY CHISOM OWOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
825 CONNETQUOT AVE, ISLIP TERRACE, NY 11752-1423
(631) 581-5496
Mailing address
99 S CLINTON AVE APT 12C, BAY SHORE, NY 11706-8675
(631) 324-0767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072867
NY
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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