Individual
ALEX MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1825 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 952-7752
Mailing address
1825 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 952-7752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054721
NY
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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