Organization
PARK RIDGE APOTHECARY INC
Active
Other names
GENESEE CAMPUS APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SPEIDEL (SUPERVISING PHARMACIST)
(585) 368-3928
Entity
Organization
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3928
(585) 368-3929
Mailing address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3928
(585) 368-3929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02569822
—
NY
01
—
2060041
PK
—
Enumeration date
08/18/2006
Last updated
02/20/2017
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