Individual
CHARLENE JAYNE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
122 W 146TH ST, NEW YORK, NY 10039-3802
(212) 675-3900
Mailing address
1139 PROSPECT AVE APT 2F, BROOKLYN, NY 11218-1139
(626) 200-8200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I069512
NY
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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