Provider Demographics
NPI:1336462274
Name:VOORHEES, DEBORAH T (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:T
Last Name:VOORHEES
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 1:3857 STATE ROUTE 31
Mailing Address - Street 2:TARGET PHARMACY 1475
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-1309
Mailing Address - Country:US
Mailing Address - Phone:315-652-5190
Mailing Address - Fax:315-652-5190
Practice Address - Street 1:3857 STATE ROUTE 31
Practice Address - Street 2:TARGET PHARMACY 1475
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-1309
Practice Address - Country:US
Practice Address - Phone:315-652-5190
Practice Address - Fax:315-652-5190
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-06
Last Update Date:2010-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist