MEDICARE: ANTHONY AFFIGATO R.PH.

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	28RI01555400	NJ
2	183500000X	Pharmacist	RP035037R	PA

General Provider Information

NPI Number	:	1831451418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY AFFIGATO R.PH.

Provider Business Mailing Address
First Line	:	2110 RT 130
Second Line	:
City	:	BEVERLY
State	:	NJ
Zip	:	08010-3103
Country	:	US
Telephone Number	:	609-871-1550
Fax Number	:	609-877-7719

Provider Business Practice Location Address
First Line	:	2110 RTE 130
Second Line	:
City	:	BEVERLY
State	:	NJ
Zip	:	08010-3103
Country	:	US
Telephone Number	:	609-871-1550
Fax Number	:	609-877-7719

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

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	06/11/2012

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Directions to “ ANTHONY AFFIGATO R.PH.” Practice Location

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