Individual
ALEENA ANN CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Mailing address
125 CREST AVE, ELMONT, NY 11003-1310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058583
NY
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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