Individual
DE FA ZHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2210
(718) 445-5800
Mailing address
1508 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060827
PHARMACY STATE LICENSE
NY
Enumeration date
09/17/2015
Last updated
09/17/2015
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