Individual provider · Type 1 NPI

Leonard Jay Fagen, RPH

Pharmacist · Southampton, NY

NPI number 1942522776 Active

Practice location

111 Main St
Southampton, NY 11968-4810

Call (631) 283-4250 Map

Mailing address

50 Roy Dr
Nesconset, NY 11767-2227

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26998 (NY)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X26998 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1942522776

Leonard Jay Fagen, RPH's National Provider Identifier is 1942522776, issued on Feb 21, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Southampton, NY. The record was last updated on Feb 21, 2010.