Individual
MR. CHARLES TABOUCHIRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. PHARM
Contact information
Practice address
207 E 66TH ST, NEW YORK, NY 10065-6453
(212) 717-7797
(212) 717-7566
Mailing address
500 E 85TH ST, APT 12H, NEW YORK, NY 10028-7405
(212) 717-7797
(212) 717-7566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046051
NY STATE LICENSE NUMBER
NY
Enumeration date
03/09/2010
Last updated
03/09/2010
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