John Joseph Keenan R.PH

NPI 1013204833 - Pharmacist - 183500000X

NPI Details
NPI 1013204833
Gender Male
Enumeration Date 06/30/2011
Last Updated 06/30/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1472 LAKESIDE DR
WANTAGH NY, 11793-2443, US
Phone (516) 445-2250
Fax (516) 679-5909
Business Location
PO BOX 4048
WANTAGH NY, 11793-0899, US
Phone (516) 445-2250
Fax (516) 679-5909
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 036110
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According to our database, Mr. John Joseph Keenan R.PH NPI is 1013204833, taxonomy code is 183500000X and license number is 036110, license state is located at New York. John Joseph Keenan R.PH physically located at 1472 Lakeside Dr, Wantagh NY, 11793-2443. NPI Number John Joseph Keenan R.PH has the Individual type.

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1013204833 NPI number is provided on an as is basis without warranty of any kind. 1013204833 is maintained by the National Plan & Provider Enumeration System. The contents of John Joseph Keenan R.PH are for informational purposes only.