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1730834375
PRASAD VARGHESE THAIVALAPPIL
JACKSON HEIGHTS, NY
NPI
1730834375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 068840)
Enumeration Date
2022-02-12
Last Update Date
2022-02-12
Business Address
PRASAD VARGHESE THAIVALAPPIL
8911 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372-1674
Phone number: 718-426-2508
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Mailing Address
PRASAD VARGHESE THAIVALAPPIL
52 STUART DR
SYOSSET, NY 11791-5126
Phone number: 732-486-5143
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