Individual
CAROLYN VIRGINIA ENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3020 NY-50, SARATOGA SPRINGS, NY 12866
(518) 580-8850
Mailing address
24 CINDY LN, HALFMOON, NY 12065-5660
(518) 641-8384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061825
NYS PHARMACIST LICENSE NUMBER
NY
Enumeration date
07/18/2016
Last updated
04/25/2022
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