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Bhavin D. Antala, Pharm D

Pharmacist in New York, NY. Individual provider (NPI-1).

NPI number1124458484
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1124458484
Entity type
Individual (NPI-1)
Name
Bhavin D. Antala
Credential
Pharm D
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 22, 2013
Certification date
May 14, 2024
Last updated
May 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist059065NYYes

Practice location

883 9th Ave
New York, NY 10019-1704

Phone 212-845-8469

Mailing address

883 9th Ave
New York, NY 10019-1704

Phone 212-845-8469

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