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NPI Code Detail

MEDICARE: SANDRA BETH ZUKOSKI RPH

MEDICARE: SANDRA BETH ZUKOSKI 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
1183500000XPharmacist033460NY

General Provider Information

NPI Number : 1760661359
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA BETH ZUKOSKI RPH
Provider Business Mailing Address
First Line : 3349 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5513
Country : US
Telephone Number : 585-383-5650
Fax Number : 585-381-3156
Provider Business Practice Location Address
First Line : 3349 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5513
Country : US
Telephone Number : 585-383-5650
Fax Number : 585-381-3156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2007
Last Update Date : 10/30/2007

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