Mina Eid
Pharmacist in Ridgewood, NY. Individual provider (NPI-1).
NPI number1124419783
StatusActive
Last updated in NPPESFeb 17, 2015
Details
- NPI
- 1124419783
- Entity type
- Individual (NPI-1)
- Name
- Mina Eid
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2015
- Last updated
- Feb 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 060083 | NY | Yes |
Practice location
604 Fairview Ave1r
Ridgewood, NY 11385-2433
Phone 347-359-7974
Mailing address
604 Fairview Ave1r
Ridgewood, NY 11385-2433
Phone 347-359-7974
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