National Provider Identifier

Calvin Stuart Coolidge, REGISTER PHARMACIST

Calvin Stuart Coolidge, REGISTER PHARMACIST is listed in the NPPES registry with a primary specialty of Pharmacist in Newark, NY and a listed phone number of (315) 332-0193.

NPI 1982884854Newark, NYPharmacist

Profile Overview

NPI
1982884854
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 08, 2007
Last Updated
November 08, 2007

Practice Location

  • 709 W Union St
  • Newark, NY 14513-1357

Phone: (315) 332-0193

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1982884854
Entity Type
Individual
Last Name
Coolidge
First Name
Calvin
Middle Name
Stuart
Name Prefix
Mr.
Credential
REGISTER PHARMACIST
Mailing Street Address
709 W Union St
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1357
Mailing Country
US
Mailing Phone
(315) 332-0193
Practice Street Address
709 W Union St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1357
Practice Country
US
Practice Phone
(315) 332-0193
Enumeration Date
November 08, 2007
Last Updated
November 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)