=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437253986
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARCELLA L SAEVA RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9556 WARSAW ROAD
-----------------------------------------------------
City | LEROY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14482
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-768-7728
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9556 WARSAW ROAD
-----------------------------------------------------
City | PAVILION
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14525
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-768-7728
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 048170
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------