Provider Demographics
NPI:1508045022
Name:CALANDRA, GUY P (RPH)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:P
Last Name:CALANDRA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 CANTON ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-3801
Mailing Address - Country:US
Mailing Address - Phone:315-393-9212
Mailing Address - Fax:315-393-9218
Practice Address - Street 1:723 CANTON ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-3801
Practice Address - Country:US
Practice Address - Phone:315-393-9212
Practice Address - Fax:315-393-9218
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist