Individual
ANGELA BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
33 KINGSLEY ST, BATH, NY 14810-1148
(607) 377-4342
Mailing address
33 KINGSLEY ST, BATH, NY 14810-1148
(607) 377-4342
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30166135
NY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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