179atlantic INC

NPI #1730270083 in Freeport, New York

Provider Information

NPI Number: 1730270083
Entity Type: Organization
Organization Name: 179atlantic INC
Primary Specialty: Pharmacist
Enumeration Date: Sep 28, 2006
Last Updated: Feb 15, 2008

Practice Location

Address: 179 ATLANTIC AVE
City: Freeport
State: New York
ZIP Code: 11520-4922
Phone: (516) 377-4050

Authorized Official

Name: MS. NAZANIN GANJIAN
Title: SUPERVISING PHARMACIST
Phone: (516) 377-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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