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