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NPI Code Detail

MEDICARE: MRS. AMELIA LOUISE BURKE RPH

MEDICARE: MRS. AMELIA LOUISE BURKE RPH
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
1183500000XPharmacist050057-1NY
2183500000XPharmacist10245-040WI
3183500000XPharmacist5302025643MI

General Provider Information

NPI Number : 1295913911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMELIA LOUISE BURKE RPH
Provider Business Mailing Address
First Line : 7644 HILLSIDE DR
Second Line :
City : VICTOR
State : NY
Zip : 14564-8928
Country : US
Telephone Number : 585-924-0768
Fax Number :
Provider Business Practice Location Address
First Line : 2580 E HENRIETTA RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-4526
Country : US
Telephone Number : 585-321-2581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2008
Last Update Date : 02/05/2008

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