Provider Demographics
NPI:1588798938
Name:TOIA, KELLY E (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:E
Last Name:TOIA
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 1:6466 CARSON DR
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-1503
Mailing Address - Country:US
Mailing Address - Phone:315-463-7125
Mailing Address - Fax:315-471-4155
Practice Address - Street 1:6466 CARSON DR
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-1503
Practice Address - Country:US
Practice Address - Phone:315-463-7125
Practice Address - Fax:315-471-4155
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist