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Isaac Provo, RPH
NPI 1639340169 · on the registry since 2008
Practice
- Address
- Miller And Finch Streets
Attn Pharmacy Manager
Newark, NY 14513 - Phone
- (315) 331-7150
- Fax
- (315) 331-8065
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York