Individual
AUGUSTINES ADJEPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10322 CORONA AVE APT 1, CORONA, NY 11368-3178
(718) 271-7486
Mailing address
9610 57TH AVE APT 18L, CORONA, NY 11368-3444
(718) 271-1269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049634
NY
1835P1200X
Pharmacotherapy Pharmacist
049634
NY
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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