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 State
1	3336C0003X	Community/Retail Pharmacy	NY
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy

General Provider Information

NPI Number	:	1063610426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEGMANS FOOD MARKETS, INC.

Provider Business Mailing Address
First Line	:	1500 BROOKS AVE
Second Line	:	ATTENTION PHARMACY OFFICE
City	:	ROCHESTER
State	:	NY
Zip	:	14624-3512
Country	:	US
Telephone Number	:	585-279-4355
Fax Number	:	585-239-2015

Provider Business Practice Location Address
First Line	:	1500 BROOKS AVE
Second Line	:	ATTN: PHARMACY OFFICE
City	:	ROCHESTER
State	:	NY
Zip	:	14624-3589
Country	:	US
Telephone Number	:	585-239-2009
Fax Number	:	585-239-2044

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

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	01/30/2024

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