Individual
MRS. MARLENE VIRNA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5313 WOODSIDE AVE, WOODSIDE, NY 11377-3348
(347) 693-7038
Mailing address
5313 WOODSIDE AVE, WOODSIDE, NY 11377-3348
(347) 693-7038
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
001655-01
NY
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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