Individual
DR. CRISTIAN MERCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
362 ROCKAWAY PKWY, VALLEY STREAM, NY 11580-2684
(516) 263-1671
Mailing address
362 ROCKAWAY PKWY, VALLEY STREAM, NY 11580-2684
(516) 263-1671
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
058294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058294
PHARMACY LICENSE
NY
Enumeration date
07/13/2015
Last updated
07/13/2015
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