Provider Demographics
NPI:1760264832
Name:PYGOTT, ARIELLE MARIE (CPHT)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:MARIE
Last Name:PYGOTT
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7988 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-7750
Mailing Address - Country:US
Mailing Address - Phone:607-661-2943
Mailing Address - Fax:
Practice Address - Street 1:7988 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-7750
Practice Address - Country:US
Practice Address - Phone:607-661-2943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48107010021763183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician