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Organization
MONROE AVENUE PHARMACY INC
Active
Organization
MONROE AVENUE PHARMACY INC
Active
Other names
monroe ave pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENE GIGNAC (OWNER)
(585) 271-7716
Entity
Organization
Contact information
Practice address
2341 MONROE AVE, ROCHESTER, NY 14618-3024
(585) 271-7716
(585) 461-9175
Mailing address
2341 MONROE AVE, ROCHESTER, NY 14618-3024
(585) 271-7716
(585) 461-9175
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029987
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5801205
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/04/2010
Last updated
05/14/2012
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