ETHAN SIMON ASEDO

STATEN ISLAND, NY
NPI1700118486
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  027362)
Enumeration Date2010-02-05
Last Update Date2010-02-05
Business Address
-- ETHAN SIMON ASEDO RPh
173 BROAD STREET
STATEN ISLAND, NY 10304-2057
Phone number: 718-447-4127
Mailing Address
-- ETHAN SIMON ASEDO RPh
173 BROAD STREET MILLER PHARMACY
STATEN ISLAND, NY 10304-2057
Phone number: 718-447-4127
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