MEDICARE: MS. BRIDGET MARIE BARVIAN 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
1	183500000X	Pharmacist	051123	NY

General Provider Information

NPI Number	:	1891915880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIDGET MARIE BARVIAN RPH

Provider Business Mailing Address
First Line	:	34 SARAH CIR
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-9591
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 EAST AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14610-1828
Country	:	US
Telephone Number	:	585-244-0220
Fax Number	:

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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