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1093046112
MARY ELLEN POTUCEK
NEW YORK, NY
NPI
1093046112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 34891)
Enumeration Date
2010-01-29
Last Update Date
2010-01-29
Business Address
Ms. MARY ELLEN POTUCEK R.Ph.
310 E 14TH ST PHARMACY
NEW YORK, NY 10003-4201
Phone number: 212-979-4379
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Mailing Address
Ms. MARY ELLEN POTUCEK R.Ph.
3624 BELL BLVD APT 9C
BAYSIDE, NY 11361-2024
Phone number: 718-229-1408
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