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NPI Code Detail

MEDICARE: CHERYL L CONRAD RPH

MEDICARE:   CHERYL L CONRAD  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
1183500000XPharmacist033176NY

General Provider Information

NPI Number : 1922032747
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL L CONRAD RPH
Provider Business Mailing Address
First Line : 572 BASKET RD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-9610
Country : US
Telephone Number : 585-216-9386
Fax Number :
Provider Business Practice Location Address
First Line : 1550 EMPIRE BLVD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2104
Country : US
Telephone Number : 585-922-2394
Fax Number : 585-922-2333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 08/14/2007

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Directions to “ CHERYL L CONRAD RPH” Practice Location

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