MEDICARE: WEGMANS FOOD MARKETS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	PP414905L	PA

General Provider Information

NPI Number	:	1023087020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEGMANS FOOD MARKETS, INC.

Provider Business Mailing Address
First Line	:	1500 BROOKS AVE
Second Line	:	ATTN: PHARMACY OFFICE
City	:	ROCHESTER
State	:	NY
Zip	:	14624
Country	:	US
Telephone Number	:	585-239-2009
Fax Number	:	585-239-2044

Provider Business Practice Location Address
First Line	:	1315 COLD SPRING RD
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-1113
Country	:	US
Telephone Number	:	570-383-8730
Fax Number	:	570-383-8740

Authorized Official
Title or Position	:	SECRETARY
Name	:	ERIN HEINTZ
Credential	:
Telephone Number	:	585-429-3902

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/11/2024

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