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Individual

MR. DAVID LOGIUDICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D.

Contact information

Practice address
6126 188TH ST, FRESH MEADOWS, NY 11365-2713
(718) 454-4433
(718) 454-8353
Mailing address
175 ROCK RD, GLEN ROCK, NJ 07452-1747
(201) 445-2857

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
053252
NY
183500000X
Pharmacist
Primary
28RI03984400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053252
NEW YORK STATE BOARD OF PHARMACY
NY
Enumeration date
08/20/2009
Last updated
12/03/2020
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