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1023106465
LARRY LEON
BAY SHORE, NY
NPI
1023106465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 029246)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- LARRY LEON RPH
30 E MAIN STREET
BAY SHORE, NY 11706-8301
Phone number: 631-665-3000
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Mailing Address
-- LARRY LEON RPH
30 E MAIN ST
BAY SHORE, NY 11706-8301
Phone number: 631-665-3000
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