# ST JOHNS HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST JOHNS HEALTH CARE CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275546863
- **Authorized official:** RICHARD MUFFORD PHARM.D. (CHIEF PHARMAST)
- **Authorized official phone:** (585) 760-1439

## Contact information

- **Practice address:** 150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
- **Practice address phone:** (585) 760-1208
- **Practice address fax:** (585) 760-1543
- **Mailing address:** 150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
- **Mailing address phone:** (585) 760-1208
- **Mailing address fax:** (585) 760-1543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 022945 | NY | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 03/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02212224 | — | NY |
| 01 | — | 3321320 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |