Individual
CALVIN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 PENNSYLVANIA AVE, ELMIRA, NY 14904-2609
(607) 733-6262
Mailing address
79 ERWIN ST, PAINTED POST, NY 14870-9710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068555
PHARMACIST LICENSE
NY
01
—
1446921
NABP E-PROFILE ID
—
Enumeration date
11/08/2021
Last updated
11/08/2021
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