WALTER JAIRO BOCANUMENTH

ELMHURST, NY
NPI1598105330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: NY  10015616)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
WALTER JAIRO BOCANUMENTH
8106 BAXTER AVE ELMHURST PHARMACY & HOME INFUSION
ELMHURST, NY 11373-1385
Phone number: 718-507-2299
Mailing Address
WALTER JAIRO BOCANUMENTH
8106 BAXTER AVE ELMHURST PHARMACY & HOME INFUSION
ELMHURST, NY 11373-1385
Phone number: 718-507-2299
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