Individual
AMANDA M LAVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 W MAIN ST, VICTOR, NY 14564-1198
(585) 924-7970
Mailing address
326 SUNNINGDALE RISE, WEBSTER, NY 14580-1602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I064331-1
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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