National Provider Identifier

David Thide

David Thide is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 419-0560.

NPI 1255512828Rochester, NYPharmacist

Profile Overview

NPI
1255512828
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 23, 2007
Last Updated
February 22, 2021

Practice Location

  • 1659 Penfield RD
  • Rochester, NY 14625-2549

Phone: (585) 419-0560

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1255512828
Entity Type
Individual
Last Name
Thide
First Name
David
Mailing Street Address
1659 Penfield RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2549
Mailing Country
US
Mailing Phone
(585) 419-0560
Practice Street Address
1659 Penfield RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2549
Practice Country
US
Practice Phone
(585) 419-0560
Enumeration Date
November 23, 2007
Last Updated
February 22, 2021
Sex
Male
Sole Proprietor
No
Certification Date
September 15, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)