Individual
ABO MULOKANDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9210 ATLANTIC AVE, OZONE PARK, NY 11416-1517
(718) 835-7903
(718) 641-3530
Mailing address
15611 AGUILAR AVE, APT. 4C, FLUSHING, NY 11367-2731
(718) 380-3704
(718) 641-3530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052174
RPH
NY
Enumeration date
02/26/2008
Last updated
02/26/2008
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