Provider Demographics
NPI:1710201140
Name:CALABRIA, DAVID S (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:CALABRIA
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 1:8150 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9480
Mailing Address - Country:US
Mailing Address - Phone:315-699-0340
Mailing Address - Fax:315-699-0348
Practice Address - Street 1:8150 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9480
Practice Address - Country:US
Practice Address - Phone:315-699-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist