Degelorm, Anthony

Degelorm, Anthony is an sole proprietor health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Degelorm, Anthony can be contacted via phone (631) 675-4201.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 675-4201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 064729 New York

Profile Details

NPI number 1013483312
LBN Legal business name Degelorm, Anthony
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2018
Last updated Oct 15th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013483312 NPPES
New York Other 064729 NEW YORK STATE BOARD OF PHARMACY

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