Individual
MRS. BELLA USHYAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
681 BROADWAY, MASSAPEQUA, NY 11758-2361
(347) 993-9901
Mailing address
681 BROADWAY, MASSAPEQUA, NY 11758-2361
(347) 993-9901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056369
NY
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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