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Individual

MS. CAROL VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS RPH

Contact information

Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7118
(631) 654-7252
Mailing address
18 WESTSIDE AVE, BAY SHORE, NY 11706-6716
(631) 666-1331
(631) 654-7252

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045225
NY

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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