National Provider Identifier

Metcarerx Brown Square Pharmaceutical Services LLC

Metcarerx Brown Square Pharmaceutical Services LLC is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (585) 254-6480.

NPI 1568667343Rochester, NYCommunity/Retail Pharmacy

Profile Overview

NPI
1568667343
Provider Type
Organization
Primary Specialty
Community/Retail Pharmacy
Enumeration Date
June 20, 2007
Last Updated
August 22, 2020

Practice Location

  • 322 Lake Ave
  • Rochester, NY 14608-1017

Phone: (585) 254-6480

Specialties

  • Community/Retail Pharmacy (3336C0003X)
Full Record
NPI
1568667343
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Metcarerx Brown Square Pharmaceutical Services LLC
Mailing Street Address
322 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1017
Mailing Country
US
Mailing Phone
(585) 254-6480
Mailing Fax
(585) 235-2372
Practice Street Address
322 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1017
Practice Country
US
Practice Phone
(585) 254-6480
Practice Fax
(585) 235-2372
Enumeration Date
June 20, 2007
Last Updated
August 22, 2020
Authorized Official Last Name
Seide
Authorized Official First Name
Charles
Authorized Official Title
Senior Vp
Authorized Official Phone
(973) 857-9800
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Retail Pharmacy (3336C0003X)