Mr Preston Lee Vancuren, RPH is a
Pharmacist based in Portville, New York. Mr Preston Lee Vancuren is licensed to practice in New York (license number 045743-1) and his current practice location is
21 Sunset Ridge Drive, Portville, New York. He can be reached at his office (for appointments etc.) via phone at
(907) 486-4490.
NPI number for Mr Preston Lee Vancuren is 1598846198 and his current mailing address is Po Box 258, Portville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598846198.
Healthcare Provider's Profile
| Full Name | Mr Preston Lee Vancuren |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 21 Sunset Ridge Drive, Portville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598846198
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 03/09/2017
Medical Identifiers
Medical identifiers for Mr Preston Lee Vancuren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598846198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 1233 (Alaska) | Secondary |
| 183500000X | Pharmacist | 045743-1 (New York) | Primary |
| 183500000X | Pharmacist | 2599 (Wyoming) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Preston Lee Vancuren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Preston Lee Vancuren, RPH
Po Box 258,
Portville, NY 14770-0258
Ph: (907) 486-4490 | Mr Preston Lee Vancuren, RPH
21 Sunset Ridge Drive,
Portville, NY 14770-0258
Ph: (907) 486-4490 |
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