Individual
MRS. BEENA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SR. PHARMACIST
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3888
Mailing address
38 TENAFLY DR, NEW HYDE PARK, NY 11040-3610
(516) 746-5009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042639
NY
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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