Individual
JENNIFER E KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2660 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1836
(516) 409-0907
Mailing address
6739 HARROW ST, FOREST HILLS, NY 11375-4123
(917) 536-0381
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
061870
NY
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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