Individual
ANTHONY J DEBBOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2560
Mailing address
722 MIDDLELINE RD, BALLSTON SPA, NY 12020-2300
(518) 368-0717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058114
NY
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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