Agavatpanitch, Gallissara

Agavatpanitch, Gallissara is an individual health care provider with primary practice located at 76 Veterans Ave , Bath NY 14810-0810. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Agavatpanitch, Gallissara can be contacted via phone (607) 664-4415.

Contact Information

Primary practice address
76 Veterans Ave Bath NY 14810-0810
Phone: (607) 664-4415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 60954 Texas

Profile Details

NPI number 1689165342
LBN Legal business name Agavatpanitch, Gallissara
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2018
Last updated May 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689165342 NPPES
Texas Other 60954 TEXAS STATE BOARD OF PHARMACY

Popular Providers