Individual
AMY WHITENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
900 HOLT RD, WEBSTER, NY 14580-9102
(585) 872-0880
(585) 872-3019
Mailing address
900 HOLT RD, WEBSTER, NY 14580-9102
(585) 872-0880
(585) 872-3019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044991
PHARMACIST LICENSE #
NY
Enumeration date
03/11/2010
Last updated
03/11/2010
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