Individual
ANNICK LAGREDELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-1730
(718) 334-8712
Mailing address
14722 231ST ST, SPRINGFIELD GARDENS, NY 11413-4428
(718) 528-6437
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
041230
NY
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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