Organization
ST JOHNS HEALTH CARE CORPORATION
Active
Other names
ST JOHNS HEALTH CARE CORP
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MUFFORD PHARM.D. (CHIEF PHARMAST)
(585) 760-1439
Entity
Organization
Contact information
Practice address
150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
(585) 760-1208
(585) 760-1543
Mailing address
150 HIGHLAND AVE, ROCHESTER, NY 14620-3024
(585) 760-1208
(585) 760-1543
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02212224
—
NY
01
—
3321320
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/14/2006
Last updated
03/25/2013
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