Individual
ABDUL LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
111-EAST 210TH STREET, BRONX, NY 10467
(718) 920-4103
(718) 920-2950
Mailing address
71 LAMBETH ST, HOLBROOK, NY 11741-5509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029240-1
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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