Organization
PARK RIDGE APOTHECARY, INC
Active
Other names
Parkway Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN HERN (EXECUTIVE VICE PRESIDENT CFO)
(585) 368-3295
Entity
Organization
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3930
(585) 368-3933
Mailing address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3930
(585) 368-3933
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
021849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430102
—
NY
Enumeration date
11/22/2006
Last updated
08/22/2020
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