Leonard Jay Fagen, RPH
NPI #1942522776 in Southampton, New York
Provider Information
- NPI Number
- 1942522776
- Entity Type
- Individual
- Name
- Leonard Jay Fagen, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Feb 21, 2010
- Last Updated
- Feb 21, 2010
Practice Location
- Address
- 111 MAIN ST
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-4810
- Phone
- (631) 283-4250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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