| Isaac G Provo, RPH | |
|
Miller And Finch Streets, Attn Pharmacy Manager, Newark, NY 14513 | |
| (315) 331-7150 | |
| (315) 331-8065 |
| Full Name | Isaac G Provo |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | Miller And Finch Streets, Newark, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639340169 | NPI | - | NPPES |
| 030985 | Other | NY | PHARMACIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 030985 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac G Provo, RPH 1500 Brooks Ave, Attn: Pharmacy Office, Rochester, NY 14624-3512 Ph: (585) 239-2020 | Isaac G Provo, RPH Miller And Finch Streets, Attn Pharmacy Manager, Newark, NY 14513 Ph: (315) 331-7150 |
Carol L Lehr, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6788 Route 31 E, Newark, NY 14513 Phone: 315-331-5084 | |
Dr. Michelle Marie Stotz, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Wal-mart Pharmacy 10-1813, 6788 Route 31 East, Newark, NY 14513 Phone: 315-331-5084 Fax: 315-331-7434 | |
Ms. Joan M Hurley, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1250 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2204 Fax: 315-332-2428 | |
Mr. John S Ellis, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 709 W Union St, Newark, NY 14513 Phone: 315-332-0193 | |
Imelda N. Dobbins, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-331-2204 Fax: 315-332-2428 | |
John Oscar Lawatsch, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 105 W Miller St, Suite B, Newark, NY 14513 Phone: 315-331-6128 Fax: 315-331-6289 | |
Michelle Vasquez, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2204 Fax: 315-332-2484 |