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Isaac G Provo, RPH
Pharmacist in Newark, New York
NPI 1639340169

Isaac G Provo is a Pharmacist based in Rochester, NY. Isaac G Provo practices in Newark, NY and has the professional credentials of RPH. The NPI Number for Isaac G Provo is 1639340169 and holds a License No. 030985 (New York).

The current practice location address for Isaac G Provo is Miller And Finch Streets, Newark, NY and can be reached out via phone at 315-331-7150 and via fax at 315-331-8065.

Location: Miller And Finch Streets, Newark, NY, 14624-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639340169
Provider Name
Isaac G Provo
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
Miller And Finch Streets, Newark, NY, 14624-3512
Phone Number
315-331-7150
Fax Number
315-331-8065
Provider Enumeration Date
03/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
030985 01 NY PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
Miller And Finch Streets
City
Newark
State
New York
Zip
14513
Phone Number
315-331-7150
Fax Number
315-331-8065
person
Provider Business Mailing Address Details
Address
Miller And Finch Streets
City
Newark
State
New York
Zip
14513
Phone Number
315-331-7150
Fax Number
315-331-8065
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
030985 (New York)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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