Individual provider · Type 1 NPI
Isaac G. Provo, RPH
Pharmacist · Newark, NY
Practice location
Miller And Finch Streets, Attn Pharmacy Manager
Newark, NY 14513
Fax (315) 331-8065
Mailing address
1500 Brooks Ave, Attn: Pharmacy Office
Rochester, NY 14624-3512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 030985 (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 1639340169
Isaac G. Provo, RPH's National Provider Identifier is 1639340169, issued on Mar 12, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Newark, NY. The record was last updated on Mar 12, 2008.