Healthcare Provider Details

I. General information

NPI: 1972696300
Provider Name (Legal Business Name): ROSENKRANS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MAIN ST
OAKFIELD NY
14125-1043
US

IV. Provider business mailing address

40 MAIN ST
OAKFIELD NY
14125-1043
US

V. Phone/Fax

Practice location:
  • Phone: 585-948-5283
  • Fax: 585-948-5360
Mailing address:
  • Phone: 585-948-5283
  • Fax: 585-948-5360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number026915
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TERESA TOBOLSKI
Title or Position: MANAGING PHARMACIST
Credential: PHARMD
Phone: 585-948-5283