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Individual

MR. BRUCE GREENWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
558 W 235TH ST, BRONX, NY 10463-1709
(718) 543-6868
(718) 543-1957
Mailing address
558 W 235TH ST, BRONX, NY 10463-1709
(718) 543-6868
(718) 543-1957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24344
NY
183500000X
Pharmacist
PS19134
FL

Other

Enumeration date
03/25/2010
Last updated
03/25/2010
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