# ST ANNS HOME FOR THE AGED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST ANNS HOME PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871698738
- **Authorized official:** CHRISTINE FREELEY RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (585) 697-6071

## Contact information

- **Practice address:** 1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
- **Practice address phone:** (585) 697-6071
- **Practice address fax:** (585) 336-1750
- **Mailing address:** 1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
- **Mailing address phone:** (585) 697-6071
- **Mailing address fax:** (585) 336-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 011668 | NY | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 03/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01565668 | — | NY |
| 01 | — | 2063803 | PK | — |