Walter Jairo Bocanumenth
Walter Jairo Bocanumenth is a Pharmacy Technician in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
8106 Baxter Ave Elmhurst Pharmacy & Home InfusionElmhurst, NY 11373-1385
Phone: (718) 507-2299
Fax: (718) 507-2399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 10015616 (NY) |
|---|
Record details
| NPI number | 1598105330 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 25, 2013 |
| Last updated in NPPES | June 25, 2013 |
| Mailing address | 8106 Baxter Ave, Elmhurst Pharmacy & Home Infusion, Elmhurst, NY 11373-1385 |
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