National Provider Identifier
Keith Prouty, PHMD
Keith Prouty, PHMD is listed in the NPPES registry with a primary specialty of Pharmacist in Medina, NY and a listed phone number of (585) 798-1212.
Profile Overview
- NPI
- 1003223793
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 15, 2014
- Last Updated
- July 15, 2014
Practice Location
- 142 E Center St
- Medina, NY 14103-1621
Phone: (585) 798-1212
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1003223793
- Entity Type
- Individual
- Last Name
- Prouty
- First Name
- Keith
- Name Prefix
- Dr.
- Credential
- PHMD
- Mailing Street Address
- 142 E Center St
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-1621
- Mailing Country
- US
- Mailing Phone
- (585) 798-1212
- Mailing Fax
- (585) 798-2041
- Practice Street Address
- 142 E Center St
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1621
- Practice Country
- US
- Practice Phone
- (585) 798-1212
- Practice Fax
- (585) 798-2041
- Enumeration Date
- July 15, 2014
- Last Updated
- July 15, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)