Organization
MONROE AVENUE PHARMACY INC
Active
Other names
monroe ave pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENE GIGNAC (OWNER)
(585) 271-7716
Entity
Organization
Contact information
Practice address
2341 MONROE AVE, ROCHESTER, NY 14618-3024
(585) 271-7716
(585) 461-9175
Mailing address
2341 MONROE AVE, ROCHESTER, NY 14618-3024
(585) 271-7716
(585) 461-9175
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029987
NY
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5801205
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/04/2010
Last updated
05/14/2012
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