Healthcare Provider Details

I. General information

NPI: 1235538216
Provider Name (Legal Business Name): MEGAN WAINWRIGHT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 EAST AVE
ROCHESTER NY
14610-1828
US

IV. Provider business mailing address

1750 EAST AVE
ROCHESTER NY
14610-1828
US

V. Phone/Fax

Practice location:
  • Phone: 585-244-0220
  • Fax: 585-244-2114
Mailing address:
  • Phone: 585-244-0220
  • Fax: 585-244-2114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number059216
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: