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NPI Code Detail

MEDICARE: DR. BRYANNA GIANNETTO PHARMD

MEDICARE: DR. BRYANNA GIANNETTO 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
1183500000XPharmacistI066800NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1I066800OTHERNYLICENSE

General Provider Information

NPI Number : 1558957548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYANNA GIANNETTO PHARMD
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-6195
Country : US
Telephone Number : 401-765-1500
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 : 12/14/2020
Last Update Date : 12/14/2020

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