National Provider Identifier
Glen J Vandebogart, RPH
Glen J Vandebogart, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 922-4481.
Source: public NPPES record, last updated February 23, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1558683227
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- February 23, 2010
- Last Updated
- February 23, 2010
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4481
Specialties
- Pharmacist (183500000X)
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Full Record
- NPI
- 1558683227
- Entity Type
- Individual
- Last Name
- Vandebogart
- First Name
- Glen
- Middle Name
- J
- Credential
- RPH
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4481
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4481
- Enumeration Date
- February 23, 2010
- Last Updated
- February 23, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)