Individual
MR. EARLE JOHN REOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSPHARM
Contact information
Practice address
10-34 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 762-2238
(607) 762-3348
Mailing address
10-34 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 762-2238
(607) 762-3348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
048929
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
048929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NY 048929
NY STATE LICENSE
NY
01
—
PT 9528
CT STATE LICENSE
CT
Enumeration date
08/06/2009
Last updated
02/06/2010
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