Individual
BETTY CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
25405 HILLSIDE AVE, GLEN OAKS, NY 11004-1613
(718) 347-7312
Mailing address
6 GORDON DRIVE, WILLISTON PARK, NY 11596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051494
NY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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