National Provider Identifier
Jonathan David Bodrog, PHARMD
Jonathan David Bodrog, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 417-4131.
Profile Overview
- NPI
- 1154720365
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 14, 2014
- Last Updated
- September 13, 2019
Practice Location
- 1575 Mount Hope Ave
- Rochester, NY 14620-4225
Phone: (585) 417-4131
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1154720365
- Entity Type
- Individual
- Last Name
- Bodrog
- First Name
- Jonathan
- Middle Name
- David
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 1575 Mount Hope Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4225
- Mailing Country
- US
- Mailing Phone
- (585) 417-4131
- Mailing Fax
- (585) 417-4132
- Practice Street Address
- 1575 Mount Hope Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4225
- Practice Country
- US
- Practice Phone
- (585) 417-4131
- Practice Fax
- (585) 417-4132
- Enumeration Date
- August 14, 2014
- Last Updated
- September 13, 2019
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)