Individual
ALEX TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8245 BROADWAY, ELMHURST, NY 11373-3362
(718) 803-2288
Mailing address
8245 BROADWAY, ELMHURST, NY 11373-3362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065969
NY
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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