SHAUN SAMPLE

ITHACA, NY
NPI1508189416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  052605)
Enumeration Date2010-03-05
Last Update Date2010-03-05
Business Address
-- SHAUN SAMPLE Rph
500 S MEADOW ST
ITHACA, NY 14850-5317
Phone number: 607-277-1772
Mailing Address
-- SHAUN SAMPLE Rph
500 S MEADOW ST
ITHACA, NY 14850-5317
Phone number: 607-277-1772
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