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1528648631
JOHNATHAN ABRAHAM
LYNBROOK, NY
NPI
1528648631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: NY 067768)
Enumeration Date
2021-04-12
Last Update Date
2021-06-28
Business Address
JOHNATHAN ABRAHAM
353 MERRICK RD
LYNBROOK, NY 11563-2517
Phone number: 163-410-7595
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Mailing Address
JOHNATHAN ABRAHAM
2433 KNAPP ST STE 102
BROOKLYN, NY 11235-1005
Phone number: 718-880-8980
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