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NPI Code Detail

MEDICARE: MR. WILLIAM PAUL FLARO III RPH

MEDICARE: MR. WILLIAM PAUL FLARO III 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
1183500000XPharmacist043312NY
2183500000XPharmacist19325MA

General Provider Information

NPI Number : 1699098996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM PAUL FLARO III RPH
Provider Business Mailing Address
First Line : 12 HALSTEAD RISE
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-9568
Country : US
Telephone Number : 585-425-3857
Fax Number :
Provider Business Practice Location Address
First Line : 2100 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2408
Country : US
Telephone Number : 585-461-3995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/01/2010

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