Healthcare Provider Details

I. General information

NPI: 1679756696
Provider Name (Legal Business Name): MR. JAMES ROBIN HOOD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S MAIN ST
ALBION NY
14411-1630
US

IV. Provider business mailing address

14165 W BACON RD
ALBION NY
14411-9022
US

V. Phone/Fax

Practice location:
  • Phone: 585-589-5685
  • Fax: 585-589-1845
Mailing address:
  • Phone: 585-589-9669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number029206
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: