Individual
ANGELA WAMBUI MWAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
863 MONTAUK HWY, SHIRLEY, NY 11967-2111
(631) 399-1352
Mailing address
863 MONTAUK HWY, SHIRLEY, NY 11967-2111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055999
NY
Other
Enumeration date
08/18/2011
Last updated
09/18/2018
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