MEDICARE: WEGMANS FOOD MARKETS, INC.

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	3336C0003X	Community/Retail Pharmacy	PP481418	PA
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy

General Provider Information

NPI Number	:	1619987138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEGMANS FOOD MARKETS, INC.

Provider Business Mailing Address
First Line	:	1500 BROOKS AVE
Second Line	:	ATTN: PHARMACY OFFICE
City	:	ROCHESTER
State	:	NY
Zip	:	14624
Country	:	US
Telephone Number	:	585-239-2009
Fax Number	:	585-239-2044

Provider Business Practice Location Address
First Line	:	1405 MAIN ST
Second Line	:	ATTN: PHARMACY MANAGER
City	:	WARRINGTON
State	:	PA
Zip	:	18976-2492
Country	:	US
Telephone Number	:	215-343-2320
Fax Number	:	215-343-4263

Authorized Official
Title or Position	:	SECRETARY
Name	:	ERIN HEINTZ
Credential	:
Telephone Number	:	585-429-3902

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	01/13/2024

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