MR. Michael John Ely, RPH

NPI #1205017217 in Rocky Point, New York

Provider Information

NPI Number: 1205017217
Entity Type: Individual
Name: MR. Michael John Ely, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 19, 2007
Last Updated: Nov 19, 2007

Practice Location

Address: 346 ROUTE 25A
Address 2: STE 102
City: Rocky Point
State: New York
ZIP Code: 11778-8818
Phone: (631) 744-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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