National Provider Identifier
Jack Lestrange, PHARMD
Jack Lestrange, PHARMD is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (585) 275-1028.
Profile Overview
- NPI
- 1407671811
- Provider Type
- Individual
- Primary Specialty
- Community/Retail Pharmacy
- Enumeration Date
- November 20, 2024
- Last Updated
- November 20, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-1028
Specialties
- Community/Retail Pharmacy (3336C0003X)
Full Record
- NPI
- 1407671811
- Entity Type
- Individual
- Last Name
- Lestrange
- First Name
- Jack
- Credential
- PHARMD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-1028
- Enumeration Date
- November 20, 2024
- Last Updated
- November 20, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community/Retail Pharmacy (3336C0003X)