Individual
BENJAMIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 GREEN ACRES RD, VALLEY STREAM, NY 11581-1008
(516) 887-0127
Mailing address
26919 UNION TPKE, NEW HYDE PARK, NY 11040-1537
(516) 439-8804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064605
NY
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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