Individual
MR. ANTHONY SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8765 94TH ST, WOODHAVEN, NY 11421-2236
(347) 545-0544
Mailing address
8765 94TH ST, WOODHAVEN, NY 11421-2236
(347) 545-0544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066044
NY
Other
Enumeration date
10/27/2020
Last updated
07/08/2022
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