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NPI Code Detail

MEDICARE: KIMBERLY VO PHARM.D

MEDICARE:   KIMBERLY  VO  PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist058062NY

General Provider Information

NPI Number : 1144713561
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY VO PHARM.D
Provider Business Mailing Address
First Line : 200 AIRPARK DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-5716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 AIRPARK DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-5716
Country : US
Telephone Number : 585-568-1522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2018
Last Update Date : 06/11/2018

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Directions to “ KIMBERLY VO PHARM.D” Practice Location

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