Pagotto, Kerry Ann

Pagotto, Kerry Ann is an individual health care provider with primary practice located at 1790 Black River Blvd N , Rome NY 13440-2454. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pagotto, Kerry Ann can be contacted via phone (315) 337-3562.

Contact Information

Primary practice address
1790 Black River Blvd N Rome NY 13440-2454
Fax: (315) 337-5139
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 048687 New York

Profile Details

NPI number 1205016144
LBN Legal business name Pagotto, Kerry Ann
Credentials RPH.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Nov 22nd, 2007 - about 19 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 1205016144 NPPES
New York Other 048687 NYS LICENSE NUMBER

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