Individual
MICHAEL MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
102 N MAIN ST, SAYVILLE, NY 11782-2508
(631) 565-9293
Mailing address
102 N MAIN ST, SAYVILLE, NY 11782-2508
(631) 565-9293
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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