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Individual

ALLEN DAVID AGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1661 OLD COUNTRY RD, UNIT285, RIVERHEAD, NY 11901-4400
(631) 727-4803
Mailing address
1661 OLD COUNTRY RD, UNIT285, RIVERHEAD, NY 11901-4400
(631) 727-4803

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23809
NY

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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