Individual
CHARITY NWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 FLATBUSH AVE, BROOKLYN, NY 11225-4901
(718) 826-6117
(718) 826-6118
Mailing address
614 FLATBUSH AVE, BROOKLYN, NY 11225-4901
(718) 826-6117
(718) 826-6118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17030191
NY
183500000X
Pharmacist
50675
NY
Other
Enumeration date
06/18/2010
Last updated
08/03/2010
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