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Individual

JACK LESTRANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-1028
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
072268
NY

Other

Enumeration date
11/20/2024
Last updated
11/20/2024
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