Organization
MONROE PHARMACY LLC
Active
Other names
Monroe Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VELEKKAKAN (OWNER)
(585) 271-1140
Entity
Organization
Contact information
Practice address
2672 RIDGE RD W, SUITE 100, ROCHESTER, NY 14626-3027
(585) 723-1755
(585) 723-1764
Mailing address
2672 RIDGE RD W, SUITE 100, ROCHESTER, NY 14626-3027
(585) 723-1755
(585) 723-1764
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3362403
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/16/2009
Last updated
06/15/2010
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