MEDICARE: ALFRED PHARMACY 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1952953747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFRED PHARMACY INC

Provider Business Mailing Address
First Line	:	36 N MAIN ST
Second Line	:
City	:	ALFRED
State	:	NY
Zip	:	14802-1011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 N MAIN ST
Second Line	:
City	:	ALFRED
State	:	NY
Zip	:	14802-1011
Country	:	US
Telephone Number	:	607-587-9222
Fax Number	:

Authorized Official
Title or Position	:	R.PH./PRESIDENT
Name	:	MR. ANTHONY JOSEPH GRAZIANO
Credential	:
Telephone Number	:	607-587-9222

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	07/11/2019

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Directions to “ALFRED PHARMACY INC ” Practice Location

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