National Provider Identifier

Kenneth Muto, PHARM.D, RPH

Kenneth Muto, PHARM.D, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 272-6290.

NPI 1902297781Ithaca, NYPharmacist

Profile Overview

NPI
1902297781
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
February 14, 2015
Last Updated
January 10, 2020

Practice Location

  • 615 S Meadow St
  • Ithaca, NY 14850-5358

Phone: (607) 272-6290

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1902297781
Entity Type
Individual
Last Name
Muto
First Name
Kenneth
Credential
PHARM.D, RPH
Mailing Street Address
615 S Meadow St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5358
Mailing Country
US
Mailing Phone
(607) 272-6290
Mailing Fax
(607) 272-9683
Practice Street Address
615 S Meadow St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5358
Practice Country
US
Practice Phone
(607) 272-6290
Practice Fax
(607) 272-9683
Enumeration Date
February 14, 2015
Last Updated
January 10, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 10, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)