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NPI Code Detail

MEDICARE: JAMIE L D'AMICO R.PH

MEDICARE: JAMIE L D'AMICO R.PH
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
1183500000XPharmacist053432NY

General Provider Information

NPI Number : 1396078929
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE L D'AMICO R.PH
Provider Business Mailing Address
First Line : 2100 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2408
Country : US
Telephone Number : 585-461-3995
Fax Number : 585-241-9092
Provider Business Practice Location Address
First Line : 2100 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2408
Country : US
Telephone Number : 585-461-3995
Fax Number : 585-241-9092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2009
Last Update Date : 09/15/2009

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Directions to “ JAMIE L D'AMICO R.PH” Practice Location

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