Provider Demographics
NPI:1417630666
Name:DEWEY, TODD HAROLD (PHARM D)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:HAROLD
Last Name:DEWEY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 ROUTE 50
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2946
Mailing Address - Country:US
Mailing Address - Phone:518-580-8850
Mailing Address - Fax:
Practice Address - Street 1:3020 ROUTE 50
Practice Address - Street 2:
Practice Address - City:SARATOGA SPGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2946
Practice Address - Country:US
Practice Address - Phone:518-580-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist