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NPI Code Detail

MEDICARE: KATIE ELIZABETH BARBONE PHARMD

MEDICARE: KATIE ELIZABETH BARBONE PHARMD
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
1183500000XPharmacist050308NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050308OTHERNYPHARMACIST LICENSE

General Provider Information

NPI Number : 1770752743
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE ELIZABETH BARBONE PHARMD
Provider Business Mailing Address
First Line : 1500 BROOKS AVE
Second Line : ATTN: PHARMACY OFFICE
City : ROCHESTER
State : NY
Zip : 14624-3512
Country : US
Telephone Number : 585-239-2020
Fax Number : 585-239-2015
Provider Business Practice Location Address
First Line : 1750 EAST AVE
Second Line : ATTN: PHARMACY MANAGER
City : ROCHESTER
State : NY
Zip : 14610-1828
Country : US
Telephone Number : 585-244-0220
Fax Number : 585-244-2114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2008
Last Update Date : 11/21/2008

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