NPI 1063735462

Mariya Rackman, PHARMD

Practitioner Pharmacist Hollis, NY

Practice location

Address: 19718 Hillside Ave, Hollis, NY 11423-2127
Phone: (718) 464-2400
Mailing address: 18804 64th Ave APT 11d, Fresh Meadows, NY 11365-3892

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 052782 (NY)

Other Pharmacist providers in New York →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence PHA-18365 (CO)

Registry record

NPI: 1063735462
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2010
Record last updated: 12 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.