National Provider Identifier

Thomas R Nettles, RPH

Thomas R Nettles, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 581-5101.

NPI 1104095793Rochester, NYPharmacist

Profile Overview

NPI
1104095793
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
February 27, 2008
Last Updated
February 27, 2008

Practice Location

  • 3750 Mount Read Boulevard
  • Cvs Pharmacy
  • Rochester, NY 14616

Phone: (585) 581-5101

Mailing Address

  • 2937 W Kendall RD
  • Holley, NY 14470-9519

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1104095793
Entity Type
Individual
Last Name
Nettles
First Name
Thomas
Middle Name
R
Name Prefix
Mr.
Credential
RPH
Mailing Street Address
2937 W Kendall RD
Mailing City
Holley
Mailing State
NY
Mailing ZIP Code
14470-9519
Mailing Country
US
Mailing Phone
(585) 638-5843
Practice Street Address
3750 Mount Read Boulevard
Practice Address Line 2
Cvs Pharmacy
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616
Practice Country
US
Practice Phone
(585) 581-5101
Practice Fax
(585) 581-2646
Enumeration Date
February 27, 2008
Last Updated
February 27, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)