NPIRadar

Nicholas Bilello, SUP RPH Valid NPI

Individual provider · Community/Retail Pharmacy · Hicksville, NY

NPI
1104968296
Type
Individual (Type 1)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
025543 (NY)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-02-13
Last updated
2007-07-08
Practice location
524 S Broadway
Hicksville, NY 11801-5013
(516) 433-7115

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