Bacchus, Shaffeeulah
Bacchus, Shaffeeulah is an sole proprietor health care provider with primary practice located at 267 W Merrick Rd , Freeport NY 11520-3346. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Bacchus, Shaffeeulah can be contacted via phone (718) 938-3274.Contact Information
Primary practice address
267 W Merrick Rd
Freeport NY 11520-3346
Phone: (718) 938-3274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 050006 | New York |
Profile Details
| NPI number | 1023039070 |
|---|---|
| LBN Legal business name | Bacchus, Shaffeeulah |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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