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NPI 1700668019

NPI 1700668019 : ROSENKRANS PHARMACY INC : MEDINA, NY

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General NPI Number Information
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    NPI Number           |    1700668019
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROSENKRANS PHARMACY INC 
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Dates
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    Enumeration Date     |    10/20/2023
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    Last Update Date     |    10/20/2023
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Provider Practice Location Address
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    Address Line         |    526 MAIN ST 
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    City                 |    MEDINA
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    State                |    NY
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    Zip                  |    14103-1421
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    Country              |    US
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    Telephone            |    585-798-1650
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    Fax                  |    585-798-9632
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Provider Business Mailing Address
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    Address Line         |    PO BOX 188 
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    City                 |    MIDDLEPORT
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    State                |    NY
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    Zip                  |    14105-0188
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    Country              |    US
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    Telephone            |    716-735-3261
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    Fax                  |    716-735-3351
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |     ZACHARY  GIROUX 
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    Credential           |    
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    Telephone            |    716-260-1131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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