National Provider Identifier
Park Ridge Apothecary, Inc
Park Ridge Apothecary, Inc 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) 368-3930.
Profile Overview
- NPI
- 1417022526
- Provider Type
- Organization
- Primary Specialty
- Long Term Care Pharmacy
- Enumeration Date
- November 22, 2006
- Last Updated
- August 22, 2020
Practice Location
- 89 Genesee St
- Rochester, NY 14611-3201
Phone: (585) 368-3930
Specialties
- Long Term Care Pharmacy (3336L0003X)
Full Record
- NPI
- 1417022526
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Park Ridge Apothecary, Inc
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 89 Genesee St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-3201
- Mailing Country
- US
- Mailing Phone
- (585) 368-3930
- Mailing Fax
- (585) 368-3933
- Practice Street Address
- 89 Genesee St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3201
- Practice Country
- US
- Practice Phone
- (585) 368-3930
- Practice Fax
- (585) 368-3933
- Enumeration Date
- November 22, 2006
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Hern
- Authorized Official First Name
- Warren
- Authorized Official Title
- Executive Vice President Cfo
- Authorized Official Phone
- (585) 368-3295
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Long Term Care Pharmacy (3336L0003X)
- Other Identifiers
- 01430102 (NY)