National Provider Identifier

Park Ridge Apothecary Inc

Park Ridge Apothecary Inc is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (585) 368-3928.

NPI 1558475525Rochester, NYCommunity/Retail Pharmacy

Profile Overview

NPI
1558475525
Provider Type
Organization
Primary Specialty
Community/Retail Pharmacy
Enumeration Date
August 18, 2006
Last Updated
February 20, 2017

Practice Location

  • 89 Genesee St
  • Rochester, NY 14611-3201

Phone: (585) 368-3928

Specialties

  • Community/Retail Pharmacy (3336C0003X)
  • Pharmacy (333600000X)
Full Record
NPI
1558475525
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) 368-3928
Mailing Fax
(585) 368-3929
Practice Street Address
89 Genesee St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3201
Practice Country
US
Practice Phone
(585) 368-3928
Practice Fax
(585) 368-3929
Enumeration Date
August 18, 2006
Last Updated
February 20, 2017
Authorized Official Last Name
Speidel
Authorized Official First Name
Laura
Authorized Official Title
Supervising Pharmacist
Authorized Official Phone
(585) 368-3928
Organization Subpart
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Retail Pharmacy (3336C0003X), Pharmacy (333600000X)
Other Identifiers
2060041 (Pk), 02569822 (NY)