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Organization
ROCHESTER GENERAL LONG TERM CARE, INC
Active
Organization
ROCHESTER GENERAL LONG TERM CARE, INC
Active
Other names
Rochester General LTC Inc, HILL HAVEN LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CLEMENT (PRESIDENT)
(585) 922-2394
Entity
Organization
Contact information
Practice address
1550 EMPIRE BLVD, WEBSTER, NY 14580-2104
(585) 922-2394
(585) 922-2333
Mailing address
1550 EMPIRE BLVD, WEBSTER, NY 14580-2104
(585) 922-2394
(585) 922-2333
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
024859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02128292
—
NY
Enumeration date
09/27/2006
Last updated
09/21/2017
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