Most Relevant Information
Provider Data
| NPI Number: | 1003634791 |
| Provider Name: | CHERYL GOREMUSANDU |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 071101 |
Most Important Dates
| Enumeration Date: | 10/01/2024 |
| Last Updated: | 10/01/2024 |
Provider Practice Location
2087 WANTAGH AVE
WANTAGH
NY
117933913
Practice Location Phone/Fax
| Phone: | 5162243015 |
| Fax: |
Provider Mailing Location
2087 WANTAGH AVE
WANTAGH
NY
117933913
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |