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Individual

DR. JASMINE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AE-C

Contact information

Practice address
1650 GRAND CONCOURSE, MAIN BASEMENT PHARMACY, BRONX, NY 10457
(718) 518-5020
(718) 518-5298
Mailing address
1650 GRAND AVE BSMT PHARMACY, BRONX, NY 10453-7886
(718) 518-5020
(718) 518-5298

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
057460
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
057460
NY

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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