Individual
MR. CALVIN STUART COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTER PHARMACIST
Contact information
Practice address
709 W UNION ST, NEWARK, NY 14513-1357
(315) 332-0193
Mailing address
709 W UNION ST, NEWARK, NY 14513-1357
(315) 332-0193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028645
NY
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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