Provider Demographics
NPI:1073835583
Name:STOYELL, PAUL J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:STOYELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:176 CORTLAND RD UPPR APT
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13053-9517
Mailing Address - Country:US
Mailing Address - Phone:585-205-3467
Mailing Address - Fax:
Practice Address - Street 1:872 STATE ROUTE 13
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3524
Practice Address - Country:US
Practice Address - Phone:607-756-1892
Practice Address - Fax:607-756-1899
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist