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NPI Code Detail

MEDICARE: SANDRA M BRUMMER PHARMD

MEDICARE: SANDRA M BRUMMER PHARMD
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
1183500000XPharmacist049287NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1049287OTHERNYPHARMACIST LICENSE NUMBER

General Provider Information

NPI Number : 1285804278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA M BRUMMER PHARMD
Provider Business Mailing Address
First Line : 1500 BROOKS AVE
Second Line : ATTN: PHARMACY OFFICE
City : ROCHESTER
State : NY
Zip : 14624-3512
Country : US
Telephone Number : 585-239-2020
Fax Number : 585-239-2020
Provider Business Practice Location Address
First Line : 3740 MCKINLEY PKWY
Second Line : ATTN: PHARMACY MANAGER
City : BLASDELL
State : NY
Zip : 14219-2660
Country : US
Telephone Number : 716-824-8013
Fax Number : 716-824-2372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 03/05/2008

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Directions to “ SANDRA M BRUMMER PHARMD” Practice Location

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