Healthcare Provider Details

I. General information

NPI: 1700668019
Provider Name (Legal Business Name): ROSENKRANS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 MAIN ST
MEDINA NY
14103-1421
US

IV. Provider business mailing address

PO BOX 188
MIDDLEPORT NY
14105-0188
US

V. Phone/Fax

Practice location:
  • Phone: 585-798-1650
  • Fax: 585-798-9632
Mailing address:
  • Phone: 716-735-3261
  • Fax: 716-735-3351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY GIROUX
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 716-260-1131