MEDICARE: MR. STEVEN E CONWAY PHARMACIST

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	061895	NY

General Provider Information

NPI Number	:	1760863385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN E CONWAY PHARMACIST

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-273-4767
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 BELLWOOD DR STE 2
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-4226
Country	:	US
Telephone Number	:	585-602-2271
Fax Number	:

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

Provider Enumeration Date	:	06/10/2015
Last Update Date	:	05/10/2022

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