Healthcare Provider Details

I. General information

NPI: 1891915880
Provider Name (Legal Business Name): BRIDGET MARIE BARVIAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 EAST AVE
ROCHESTER NY
14610-1828
US

IV. Provider business mailing address

34 SARAH CIR
SPENCERPORT NY
14559-9591
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051123
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: