Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Isaac G Provo, RPH

Individual provider Pharmacist · NPI 1639340169

Isaac G Provo, RPH is a Pharmacist in Newark, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Partly verified

Some contact details are missing from the federal record.

Miller And Finch Streets Attn Pharmacy Manager
Newark, NY 14513
Phone: (315) 331-7150
Fax: (315) 331-8065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 030985 (NY)

Record details

NPI number1639340169
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 12, 2008
Last updated in NPPESMarch 12, 2008

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