Individual
CHARLES BENEDICT WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1955 EMPIRE BLVD, ATTN: PHARMACY MANAGER, WEBSTER, NY 14580-1903
(585) 671-4070
(585) 671-1995
Mailing address
1500 BROOKS AVE, ATTN: PHARMACY OFFICE, ROCHESTER, NY 14624-3512
(585) 239-2020
(585) 239-2015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048827
PHARMACIST LICENSE
NY
Enumeration date
03/12/2008
Last updated
03/12/2008
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