Suboor Azimi
Pharmacist in Glen Cove, NY. Individual provider (NPI-1).
NPI number1003545377
StatusActive
Last updated in NPPESJun 10, 2022
Details
- NPI
- 1003545377
- Entity type
- Individual (NPI-1)
- Name
- Suboor Azimi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2022
- Certification date
- Jun 10, 2022
- Last updated
- Jun 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 068386 | NY | Yes |
Practice location
101 Saint Andrews LnGlen Cove, NY 11542-2263
Phone 516-674-7300
Mailing address
1 Priscilla LnPort Jefferson Station, NY 11776-4219
Phone 516-348-5759
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All 51 Pharmacist providers in Glen Cove · All 951 providers in Glen Cove
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