Organization
HMB PHARMACY MANAGEMENT LLC
Active
Other names
metcare rx
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ SHAH (COO)
(732) 318-9628
Entity
Organization
Contact information
Practice address
322 LAKE AVE, ROCHESTER, NY 14608-1017
(585) 254-6480
(585) 672-1737
Mailing address
322 LAKE AVE, ROCHESTER, NY 14608-1017
(585) 254-6480
(585) 672-1737
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03205718
—
NY
01
—
3364661
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2010
Last updated
02/11/2011
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