National Provider Identifier

Trevor Robert Quackenbush, PHARMD

Trevor Robert Quackenbush, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Fairport, NY and a listed phone number of (585) 360-1814.

NPI 1427605484Fairport, NYPharmacist

Profile Overview

NPI
1427605484
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
August 23, 2019
Last Updated
August 23, 2019

Practice Location

  • 6707 Pittsford Palmyra RD
  • Fairport, NY 14450-3442

Phone: (585) 360-1814

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1427605484
Entity Type
Individual
Last Name
Quackenbush
First Name
Trevor
Middle Name
Robert
Name Prefix
Dr.
Credential
PHARMD
Mailing Street Address
6707 Pittsford Palmyra RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3442
Mailing Country
US
Mailing Phone
(585) 360-1814
Practice Street Address
6707 Pittsford Palmyra RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3442
Practice Country
US
Practice Phone
(585) 360-1814
Enumeration Date
August 23, 2019
Last Updated
August 23, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)