Individual
MANISA TANPRAYOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102
(718) 906-6276
Mailing address
4850 38TH ST, APT. 7D, LONG ISLAND CITY, NY 11101-1948
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02990500
NJ
1835P1200X
Pharmacotherapy Pharmacist
Primary
057823
NY
Other
Enumeration date
03/09/2015
Last updated
11/16/2018
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