Individual
ELENA MENDEZ-RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
525 E 68TH ST RM K-04, NEW YORK, NY 10065-4870
(212) 746-0758
Mailing address
525 E 68TH ST RM K-04, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
045643-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045643-1
PHARMACY LICENSE
NY
Enumeration date
05/15/2020
Last updated
05/15/2020
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