JUSTIN MA

RIVERHEAD, NY
NPI1972121010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  063971)
Enumeration Date2020-07-06
Last Update Date2020-07-06
Business Address
JUSTIN MA
1196 OLD COUNTRY RD
RIVERHEAD, NY 11901-2066
Phone number: 631-208-0239
Mailing Address
JUSTIN MA
1196 OLD COUNTRY RD
RIVERHEAD, NY 11901-2066
Phone number: 631-208-0239
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