National Provider Identifier
St Johns Health Care Corporation
St Johns Health Care Corporation is listed in the NPPES registry with a primary specialty of Long Term Care Pharmacy in Rochester, NY and a listed phone number of (585) 760-1208.
Profile Overview
- NPI
- 1275546863
- Provider Type
- Organization
- Primary Specialty
- Long Term Care Pharmacy
- Enumeration Date
- August 14, 2006
- Last Updated
- March 25, 2013
Practice Location
- 150 Highland Ave
- Rochester, NY 14620-3024
Phone: (585) 760-1208
Specialties
- Long Term Care Pharmacy (3336L0003X)
Full Record
- NPI
- 1275546863
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- St Johns Health Care Corporation
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 150 Highland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3024
- Mailing Country
- US
- Mailing Phone
- (585) 760-1208
- Mailing Fax
- (585) 760-1543
- Practice Street Address
- 150 Highland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3024
- Practice Country
- US
- Practice Phone
- (585) 760-1208
- Practice Fax
- (585) 760-1543
- Enumeration Date
- August 14, 2006
- Last Updated
- March 25, 2013
- Authorized Official Last Name
- Mufford
- Authorized Official First Name
- Richard
- Authorized Official Title
- Chief Pharmast
- Authorized Official Phone
- (585) 760-1439
- Organization Subpart
- No
- Authorized Official Credential Text
- PHARM.D.
- Taxonomies
- Long Term Care Pharmacy (3336L0003X)
- Other Identifiers
- 02212224 (NY), 3321320 (Ncpdp Provider Identification Number)