Jack Kolacz

NPI #1750892071 in Maspeth, New York

Provider Information

NPI Number: 1750892071
Entity Type: Individual
Name: Jack Kolacz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 12, 2017
Last Updated: Oct 12, 2017

Practice Location

Address: 6402 FLUSHING AVE
City: Maspeth
State: New York
ZIP Code: 11378-2833
Phone: (718) 416-1749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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