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Kellie Provo
Pharmacist in Webster, New York
NPI 1891018305

Kellie Provo is a Pharmacist based in Webster, NY. Kellie Provo practices in Webster, NY. The NPI Number for Kellie Provo is 1891018305 and holds a License No. 046792 (New York).

The current practice location address for Kellie Provo is 900 Holt Rd, Webster, NY and can be reached out via phone at 585-872-0880 and via fax at 585-872-3019.

Location: 900 Holt Rd, Webster, NY, 14580-9102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891018305
Provider Name
Kellie Provo
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 Holt Rd, Webster, NY, 14580-9102
Phone Number
585-872-0880
Fax Number
585-872-3019
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046792 01 NY PHARMACIST LICENSE #
institution
Provider Business Practice Location Address Details
Address
900 Holt Rd
City
Webster
State
New York
Zip
14580-9102
Phone Number
585-872-0880
Fax Number
585-872-3019
person
Provider Business Mailing Address Details
Address
900 Holt Rd
City
Webster
State
New York
Zip
14580-9102
Phone Number
585-872-0880
Fax Number
585-872-3019
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
046792 (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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