Individual provider · Type 1 NPI

Kellie Provo

Pharmacist · Webster, NY

NPI number 1891018305 Active

Practice location

900 Holt Rd
Webster, NY 14580-9102

Call (585) 872-0880 Map

Fax (585) 872-3019

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X046792 (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 1891018305

Kellie Provo's National Provider Identifier is 1891018305, issued on Mar 11, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Webster, NY. The record was last updated on Mar 11, 2010.