Individual
BRITTANY AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MENANDS RD, ALBANY, NY 12204-2307
(518) 542-0239
Mailing address
5 MENANDS RD, MENANDS, NY 12204-2307
(518) 542-0239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062305
IMMUNIZATION PHARMACIST
NY
Enumeration date
10/13/2016
Last updated
10/31/2019
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