Organization
ST ANNS HOME FOR THE AGED
Active
Other names
ST ANNS HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FREELEY RPH (DIRECTOR OF PHARMACY)
(585) 697-6071
Entity
Organization
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6071
(585) 336-1750
Mailing address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6071
(585) 336-1750
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
011668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01565668
—
NY
01
—
2063803
PK
—
Enumeration date
09/14/2006
Last updated
03/24/2016
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