MEDICARE: MR. JAMES J CAEZZA R.PH., M.B.A.

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	034661	NY

General Provider Information

NPI Number	:	1649502584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES J CAEZZA R.PH., M.B.A.

Provider Business Mailing Address
First Line	:	200 AIRPARK DR
Second Line	:	SUITE 100
City	:	ROCHESTER
State	:	NY
Zip	:	14624-5716
Country	:	US
Telephone Number	:	585-568-1523
Fax Number	:	585-423-9488

Provider Business Practice Location Address
First Line	:	200 AIRPARK DR
Second Line	:	SUITE 100
City	:	ROCHESTER
State	:	NY
Zip	:	14624-5716
Country	:	US
Telephone Number	:	585-568-1523
Fax Number	:	585-423-9488

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

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

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