Individual
MR. CARMEN LEWIS PANETTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
293 ELM AVEUNE, DELMAR, NY 12054
(518) 729-2480
Mailing address
293 ELM AVE, DELMAR, NY 12054-9402
(518) 729-2480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0475991
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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