Individual
COLETTA LYNNE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2613 W HENRIETTA RD, ROCHESTER, NY 14623-2327
(585) 279-4950
(585) 461-3942
Mailing address
2613 W HENRIETTA RD, ROCHESTER, NY 14623-2327
(585) 279-4950
(585) 461-3942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059405
LICENSE
NY
Enumeration date
07/24/2014
Last updated
07/24/2014
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