ISAAC G PROVO

NEWARK, NY
NPI1639340169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  030985)
Enumeration Date2008-03-12
Last Update Date2008-03-12
Business Address
-- ISAAC G PROVO RPh
MILLER AND FINCH STREETS ATTN PHARMACY MANAGER
NEWARK, NY 14513
Phone number: 315-331-7150
Mailing Address
-- ISAAC G PROVO RPh
1500 BROOKS AVE ATTN: PHARMACY OFFICE
ROCHESTER, NY 14624-3512
Phone number: 585-239-2020
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