Organization
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Active
Other names
Lifetime Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY KATHERINE PEPE RPH (SUPERVISING PHARMACIST)
(585) 292-8488
Entity
Organization
Contact information
Practice address
1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
(585) 292-8488
(585) 292-6598
Mailing address
1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
(585) 292-8488
(585) 292-6598
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
017164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01853745
—
NY
Enumeration date
12/29/2006
Last updated
08/22/2020
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