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1609240845
ROMAN FAZYLOV
NEW YORK, NY
NPI
1609240845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: NY 059235)
Enumeration Date
2015-11-28
Last Update Date
2015-11-28
Business Address
Dr. ROMAN FAZYLOV Pharm.D.
800 2ND AVE
NEW YORK, NY 10017-4709
Phone number: 646-918-7363
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Mailing Address
Dr. ROMAN FAZYLOV Pharm.D.
15333 77TH AVE
FLUSHING, NY 11367-3127
Phone number: 646-519-0180
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