Individual
KAITLYN J AGEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-4210
Mailing address
6040 STATE ROUTE 90 N, CAYUGA, NY 13034-4104
(315) 380-4232
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
066719
NY
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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