Individual
MARY JO MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5574
Mailing address
81 WINDWOOD CIR, ROCHESTER, NY 14626-3468
(585) 621-9472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
045542
NY
1835X0200X
Oncology Pharmacist
Primary
045542
NY
Other
Enumeration date
02/16/2007
Last updated
02/15/2010
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