MEDICARE: MR. MICHAEL EDWARD WELSCH R.PH.

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	040746	NY

General Provider Information

NPI Number	:	1730213620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL EDWARD WELSCH R.PH.

Provider Business Mailing Address
First Line	:	5 SUNLEAF DR
Second Line	:
City	:	PENFIELD
State	:	NY
Zip	:	14526-9551
Country	:	US
Telephone Number	:	585-671-2011
Fax Number	:	585-334-5833

Provider Business Practice Location Address
First Line	:	201 SCOTTSVILLE W HENRIETTA RD
Second Line	:	SUITE 1
City	:	WEST HENRIETTA
State	:	NY
Zip	:	14586-9596
Country	:	US
Telephone Number	:	585-334-0140
Fax Number	:	585-334-5833

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	12/09/2008

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