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NPI Code Detail

MEDICARE: JODI GRILLO RPH

MEDICARE: JODI GRILLO 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
1183500000XPharmacist051888NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051888OTHERNYPHARMACIST LICENSE #

General Provider Information

NPI Number : 1447573936
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI GRILLO RPH
Provider Business Mailing Address
First Line : 430 SPENCERPORT RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-5219
Country : US
Telephone Number : 585-247-1710
Fax Number : 585-247-1755
Provider Business Practice Location Address
First Line : 430 SPENCERPORT RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14606-5219
Country : US
Telephone Number : 585-247-1710
Fax Number : 585-247-1755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2010
Last Update Date : 11/30/2025

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