Organization
CLINICAL PHARMACY CONSULT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KENNEDY AWADALLAH R.PH, MBA (MEMBER MANAGER)
(516) 376-6412
Entity
Organization
Contact information
Practice address
134 EVELYN RD, MINEOLA, NY 11501-3206
(516) 376-6412
Mailing address
734 FRANKLIN AVE, #665, GARDEN CITY, NY 11530-4525
(516) 376-6412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
046732
NY
Other
Enumeration date
01/01/2009
Last updated
01/09/2009
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