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Individual

CAROLYN A SCHUTRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
507 CHEMUNG ST, HORSEHEADS, NY 14845-2711
(607) 739-0301
(607) 739-0072
Mailing address
507 CHEMUNG ST, HORSEHEADS, NY 14845-2711
(607) 739-0301
(607) 739-0072

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039521
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00352098
NY
Enumeration date
11/13/2007
Last updated
11/13/2007
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