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1538488036
MARINA DISTANT
BRONX, NY
NPI
1538488036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 051302)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
-- MARINA DISTANT Pharm. D
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-6179
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Mailing Address
-- MARINA DISTANT Pharm. D
1319 ADEE AVE
BRONX, NY 10469-5111
Phone number: 347-346-4156
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