Mirvice Ahmad

NPI #1942807532 in Corona, New York

Provider Information

NPI Number: 1942807532
Entity Type: Individual
Name: Mirvice Ahmad
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 6, 2020
Last Updated: Oct 6, 2020

Practice Location

Address: 10607 CORONA AVE
City: Corona
State: New York
ZIP Code: 11368-2906
Phone: (718) 685-2388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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