Individual
MRS. CHRISTINA ANN MINERVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
492 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1517
(516) 599-2233
(516) 596-3285
Mailing address
492 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1533
(516) 599-2233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
036735-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036735-1
NYS PHARMACIST LICENSE
NY
Enumeration date
03/05/2008
Last updated
05/04/2010
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