Individual
DR. ANI THANKACHAN CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
691 CO OP CITY BLVD, BRONX, NY 10475-1673
(718) 862-2847
Mailing address
691 CO OP CITY BLVD, BRONX, NY 10475-1673
(718) 862-2847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055637
NY
Other
Enumeration date
06/20/2011
Last updated
12/19/2013
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