MEDICARE: DR. CAITLIN KERR PHARM D.

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	183500000X	Pharmacist	061689	NY

General Provider Information

NPI Number	:	1538511464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAITLIN KERR PHARM D.

Provider Business Mailing Address
First Line	:	3535 MOUNT READ BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14616-4347
Country	:	US
Telephone Number	:	585-360-1500
Fax Number	:	585-360-1506

Provider Business Practice Location Address
First Line	:	3535 MOUNT READ BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14616-4347
Country	:	US
Telephone Number	:	585-360-1500
Fax Number	:	585-360-1506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2016
Last Update Date	:	07/03/2016

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