Individual
CAROL L BULAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 W 5TH ST APT 13A, BROOKLYN, NY 11224-4116
(347) 420-4150
Mailing address
2775 SHORE PKWY APT 13A, BROOKLYN, NY 11223-6530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068206
NY
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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