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1548432651
GLENN HARVEY MINTZ
VALLEY STREAM, NY
NPI
1548432651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 36306-1)
Enumeration Date
2008-03-28
Last Update Date
2008-03-28
Business Address
Mr. GLENN HARVEY MINTZ rph
231 W MERRICK RD
VALLEY STREAM, NY 11580-5514
Phone number: 516-593-1505
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Mailing Address
Mr. GLENN HARVEY MINTZ rph
720 JACKIE LN
BALDWIN, NY 11510-4510
Phone number: 516-379-9075
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