Individual
MR. ANDREW S WALLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
25707 UNION TPKE, GLEN OAKS, NY 11004-1250
(718) 343-0070
(718) 343-0096
Mailing address
25707 UNION TPKE, GLEN OAKS, NY 11004-1250
(718) 343-0070
(718) 343-0096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028384
NY
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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