Pine Pharmacey At Twelve Corners Llc in Rochester - Compounding Pharmacy

Pine Pharmacey At Twelve Corners Llc - NPI 1376711952

Pine Pharmacey At Twelve Corners Llc is a Compounding Pharmacy in Rochester, New York. Pine Pharmacey At Twelve Corners Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Pine Pharmacey At Twelve Corners Llc is 1376711952. The last update date is 2015-10-19.

Pine Pharmacey At Twelve Corners Llc's current location address is 1832 Monroe Ave, Rochester, New York. You can contact this provider via phone number 5852448600 and fax number 5856973490. The mailing address for Pine Pharmacey At Twelve Corners Llc is 1832 Monroe Ave, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pine Pharmacey At Twelve Corners Llc
Address 1832 Monroe Ave, Rochester, New York
Phone Number 5852448600
Fax Number 5856973490
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Muto Alfonse
Telephone Number 7166284986

NPI Number Detail

NPI Number 1376711952
Provider Enumeration Date 2008-02-15
Last Updated Date 2015-10-19

Provider Mailing Address Detail

Address 1832 Monroe Ave
City Rochester
State New York (NY)
Post Code 146181922
Phone Number 5852448600
Fax Number 5856973490

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Licence No 33859
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2154707 PK

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FAQs about Pine Pharmacey At Twelve Corners Llc

What is the unique 10-digit identification code assigned to Pine Pharmacey At Twelve Corners Llc by the Centers for Medicare & Medicaid Services?

The Pine Pharmacey At Twelve Corners Llc has been issued the NPI (National Provider Identifier) 1376711952, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Pine Pharmacey At Twelve Corners Llc is located?

The Pine Pharmacey At Twelve Corners Llc is situated at the following address: 1832 Monroe Ave, Rochester, NY, 146181922.

What is Pine Pharmacey At Twelve Corners Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pine Pharmacey At Twelve Corners Llc is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.

On what date did the Pine Pharmacey At Twelve Corners Llc receive its 1376711952 assignment from the Centers for Medicare & Medicaid Services?

The Pine Pharmacey At Twelve Corners Llc was assigned its 1376711952 by the Centers for Medicare & Medicaid Services on 2008-02-15.

When was the information regarding Pine Pharmacey At Twelve Corners Llc most recently updated?

The details pertaining to the Pine Pharmacey At Twelve Corners Llc, including its address, specialty, and other relevant information, were last refreshed on 2015-10-19.

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