Individual
OMENOGO CHINWE LAURA OSANAKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2493
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2493
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
003371
NY
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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