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NPI Code Detail

MEDICARE: SANITA OBRADOVIC PHARM.D.

MEDICARE: SANITA OBRADOVIC 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
1183500000XPharmacist050733NY

General Provider Information

NPI Number : 1780836569
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANITA OBRADOVIC PHARM.D.
Provider Business Mailing Address
First Line : 3507 MOUNT READ BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-4347
Country : US
Telephone Number : 585-663-4624
Fax Number : 585-663-9182
Provider Business Practice Location Address
First Line : 3507 MOUNT READ BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-4347
Country : US
Telephone Number : 585-663-4624
Fax Number : 585-663-9182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2008
Last Update Date : 10/13/2008

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Directions to “ SANITA OBRADOVIC PHARM.D.” Practice Location

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