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Organization
PARK RIDGE APOTHECARY, INC
Active
Organization
PARK RIDGE APOTHECARY, INC
Active
Other names
Parkway Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN HERN (EXECUTIVE VICE PRESIDENT CFO)
(585) 368-3295
Entity
Organization
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3930
(585) 368-3933
Mailing address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3930
(585) 368-3933
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
021849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430102
—
NY
Enumeration date
11/22/2006
Last updated
08/22/2020
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