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1922320753
YAKOV YUSUPOV
BRONX, NY
NPI
1922320753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 052872)
Enumeration Date
2010-02-21
Last Update Date
2012-05-23
Business Address
-- YAKOV YUSUPOV PharmD
3131 EAST TREMONT AVE
BRONX, NY 10461
Phone number: 718-822-5900
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Mailing Address
-- YAKOV YUSUPOV PharmD
3131 E TREMONT AVE
BRONX, NY 10461-5719
Phone number: 718-822-5900
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