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	019705	NY

General Provider Information

NPI Number	:	1285619833
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	:	6660 FOURTH SECTION RD, STE 2
Second Line	:	ATTN: PHARMACY MANAGER
City	:	BROCKPORT
State	:	NY
Zip	:	14420-2448
Country	:	US
Telephone Number	:	585-637-6855
Fax Number	:	585-637-7848

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	01/11/2024

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