Michael Shamalov, RPH Valid NPI
Individual provider · Pharmacist · Woodbury, NY
- NPI
- 1114162799
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 046104 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-12-10
- Last updated
- 2017-04-27
Practice location
333 Crossways Park Dr
Woodbury, NY 11797-2066
(631) 321-3850