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Individual

MR. DAVID JOEL PROBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
518 JEFFERSON PLAZA, RITE AID PHARMACY, PORT JEFF, NY 11776
(631) 476-8334
(631) 476-8334
Mailing address
518 JEFFERSON PLAZA, PORT JEFF STATION, NY 11776
(631) 476-8334
(631) 476-0749

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027950
NY

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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