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General NPI Number Information
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NPI Number | 1760218648
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Entity Type | Organization
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Legal Business Name | GENESEO PHARMACY INC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 4162 RESERVOIR RD
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City | GENESEO
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State | NY
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Zip | 14454-9730
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Country | US
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Telephone | 585-443-8014
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Fax | 585-443-8015
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Provider Business Mailing Address
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Address Line | 4162 RESERVOIR RD
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City | GENESEO
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State | NY
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Zip | 14454-9730
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Country | US
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Telephone | 585-443-8014
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Fax | 585-443-8015
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Authorized Official
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Title or Position | PHARMAIST IN CHARGE
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Name | SARAH E RIPSTEIN
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Credential | PHARMD
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Telephone | 585-443-8014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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