Organization
LYELL AVE PHARMACY INC
Active
Other names
Lyell Ave Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI PALMERI (PRESIDENT)
(585) 546-1150
Entity
Organization
Contact information
Practice address
115 LYELL AVE, ROCHESTER, NY 14608-1312
(585) 546-1150
Mailing address
115 LYELL AVE, ROCHESTER, NY 14608-1312
(585) 546-1150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3358581
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/06/2008
Last updated
06/15/2009
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