Michael A Polise, RPH

NPI #1972627826 in Astoria, New York

Provider Information

NPI Number: 1972627826
Entity Type: Individual
Name: Michael A Polise, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 18, 2007
Last Updated: Aug 25, 2008

Practice Location

Address: 2392 21ST ST
City: Astoria
State: New York
ZIP Code: 11105
Phone: (718) 728-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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