Individual provider · Type 1 NPI

Ethan Simon Asedo, RPH

Pharmacist · Staten Island, NY

NPI number 1700118486 Active

Practice location

173 Broad Street
Staten Island, NY 10304-2057

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X027362 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1700118486

Ethan Simon Asedo, RPH's National Provider Identifier is 1700118486, issued on Feb 5, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 5, 2010.