Individual
MS. BETTE ANN GROLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
364 LONG BEACH RD, OCEANSIDE, NY 11572-2230
(516) 766-2288
Mailing address
881 PUTNAM AVE, MERRICK, NY 11566-1213
(516) 538-3099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030814-1
NY
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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