MEDICARE: MR. WILLIAM STEVEN ZAGOREOS R.P., C.C.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI020987000	NJ

General Provider Information

NPI Number	:	1063749273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM STEVEN ZAGOREOS R.P., C.C.P.

Provider Business Mailing Address
First Line	:	23 SUNSET RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2711
Country	:	US
Telephone Number	:	609-896-1707
Fax Number	:	609-278-6878

Provider Business Practice Location Address
First Line	:	1251 LAWRENCE RD
Second Line	:
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-3545
Country	:	US
Telephone Number	:	609-882-7777
Fax Number	:	609-530-1475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	11/09/2009

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