MEDICARE: NATASHA A SCRIVENS 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
1	183500000X	Pharmacist	052042	NY

General Provider Information

NPI Number	:	1407028491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA A SCRIVENS PHARMD

Provider Business Mailing Address
First Line	:	1111 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-3005
Country	:	US
Telephone Number	:	585-241-1508
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 EAST AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14610-1828
Country	:	US
Telephone Number	:	585-244-4030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2008
Last Update Date	:	05/10/2018

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