Individual
CHRISTOPHER ILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
76 RUTGERS ST, ROCHESTER, NY 14607-2818
(315) 767-3108
Mailing address
76 RUTGERS ST, ROCHESTER, NY 14607
(315) 767-3108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058237
NY
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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