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Organization
ST JOHNS HEALTH CARE CORPORATION
Active
Organization
ST JOHNS HEALTH CARE CORPORATION
Active
Other names
ST JOHNS HEALTH CARE CORP
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MUFFORD PHARM.D. (CHIEF PHARMAST)
(585) 760-1439
Entity
Organization
Contact information
Practice address
150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
(585) 760-1208
(585) 760-1543
Mailing address
150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
(585) 760-1208
(585) 760-1543
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02212224
—
NY
01
—
3321320
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/14/2006
Last updated
03/25/2013
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