Individual
ALI IMRAN RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
346 CENTRAL AVE, ALBANY, NY 12206-2347
(518) 621-7748
Mailing address
913 BROADWAY, WATERVLIET, NY 12189-3639
(646) 415-0260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26303
MD
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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