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Individual
MR. PAUL B PAGNOTTA
Active
Individual
MR. PAUL B PAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041386
NYS PHARMACY LICENSE
NY
Enumeration date
02/15/2007
Last updated
07/08/2007
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