Provider Demographics
NPI:1164754123
Name:VOTRA, HELEN LUCENA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:LUCENA
Last Name:VOTRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 BREWERTON RD
Mailing Address - Street 2:
Mailing Address - City:N SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-3785
Mailing Address - Country:US
Mailing Address - Phone:315-458-0392
Mailing Address - Fax:315-214-0012
Practice Address - Street 1:3803 BREWERTON RD
Practice Address - Street 2:
Practice Address - City:N SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-3785
Practice Address - Country:US
Practice Address - Phone:315-458-0392
Practice Address - Fax:315-214-0012
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist