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1013483312
ANTHONY DEGELORM
BAY SHORE, NY
NPI
1013483312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 064729)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
ANTHONY DEGELORM PharmD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-675-4201
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Mailing Address
ANTHONY DEGELORM PharmD
25 PATRICK CIR
FULTON, NY 13069-3209
Phone number: 315-561-1239
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