Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISAAC G PROVO, RPH
ActiveISAAC G PROVO, RPH is a Pharmacist healthcare provider located in NEWARK, New York. NPI 1639340169 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · NEWARK, NY
Registration Details
- NPI Number
- 1639340169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2008 (18.394977186429 yrs)
- Last Updated
- Mar 12, 2008
- License
-
030985 (NY)
Practice Information
- Address
-
MILLER AND FINCH STREETSATTN PHARMACY MANAGERNEWARK, NY, 14513Browse NY providers · Browse ZIP 14513
- Phone
- 3153317150
- Fax
- 3153318065
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in NEWARK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELLE MARIE STOTZ | PHARM. D. | 1134184419 |
| MS. JOAN M HURLEY | R.PH. | 1225060122 |
| CAROL L LEHR | — | 1073676789 |
| DR. KELLY LYNN SIRIANNO | PHARMD | 1942411970 |
| MR. CALVIN STUART COOLIDGE | REGISTER PHARMACIST | 1982884854 |
| MR. JOHN S ELLIS | — | 1225219959 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.