MEDICARE: AVERYS PHARMACY INC

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		NY
2	3336C0003X	Community/Retail Pharmacy	016608	NY

General Provider Information

NPI Number	:	1821127820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVERYS PHARMACY INC

Provider Business Mailing Address
First Line	:	10504 MAIN ST
Second Line	:	PO BOX 579
City	:	NORTH COLLINS
State	:	NY
Zip	:	14111-0579
Country	:	US
Telephone Number	:	716-337-2992
Fax Number	:	716-337-3090

Provider Business Practice Location Address
First Line	:	10504 MAIN ST
Second Line	:
City	:	NORTH COLLINS
State	:	NY
Zip	:	14111-0579
Country	:	US
Telephone Number	:	716-337-2992
Fax Number	:	716-337-3090

Authorized Official
Title or Position	:	OWNER
Name	:	MR. A FRANK MAURO
Credential	:	RPH
Telephone Number	:	716-337-2992

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/04/2015

Similar Medicare Providers

1053447755 — MR. A FRANK MAURO RPH
Practice Location Address:

10504 MAIN ST
NORTH COLLINS, NY
14111-0579

Practice Phone: 716-337-2992
Practice Fax: 716-337-3090

1780669358 — DR. HOWARD JOSEPH ALLEN LCSW
Practice Location Address:

11417 EDEN RD
NORTH COLLINS, NY
14111-9738

Practice Phone: 716-337-3092
Practice Fax: 716-337-3092

1215019286 — MRS. LYNN A. WASIELEWSKI LMSW
Practice Location Address:

2107 SPRUCE STREET NORTH COLLINS
NORTH COLLINS, NY
14111

Practice Phone: 716-337-3706
Practice Fax: 716-337-2723

1932277639 — MRS. MARIE HENNESSY KERWIN RPH
Practice Location Address:

AVERYS PHARMACY DBA N COLLINS PHARMACY 10504 MAIN ST
NORTH COLLINS, NY
14111

Practice Phone: 716-337-2992
Practice Fax: 716-337-3090

1083764369 — MR. JAMES LAVALLE
Practice Location Address:

2107 SPRUCE STREET , NORTH COLLINS
NORTH COLLINS, NY
14111

Practice Phone: 716-337-3706
Practice Fax: 716-337-2723

1679623888 — MS. CORA GUGINO CPRP
Practice Location Address:

2107 SPRUCE STREET , NORTH COLLINS
NORTH COLLINS, NY
14111

Practice Phone: 716-337-3706
Practice Fax: 716-337-2723

Directions to “AVERYS PHARMACY INC ” Practice Location

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