Individual
CARRIE FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-3344
(585) 425-0010
(855) 331-9077
Mailing address
6720 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-3344
(585) 425-0010
(855) 331-9077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045411
NY
Other
Enumeration date
02/09/2010
Last updated
04/30/2014
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