National Provider Identifier

Monroe Avenue Pharmacy Inc

Monroe Avenue Pharmacy Inc is listed in the NPPES registry with a primary specialty of Pharmacy in Rochester, NY and a listed phone number of (585) 271-7716.

NPI 1720301757Rochester, NYPharmacy

Source: public NPPES record, last updated May 14, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1720301757
Provider Type
Organization
Primary Specialty
Pharmacy
Enumeration Date
March 04, 2010
Last Updated
May 14, 2012

Practice Location

  • 2341 Monroe Ave
  • Rochester, NY 14618-3024

Phone: (585) 271-7716

Authorized Official

Name
Rene Gignac
Title
Owner
Phone
(585) 271-7716

Specialties

  • Pharmacy (333600000X)
  • Community/Retail Pharmacy (3336C0003X)
  • Compounding Pharmacy (3336C0004X)

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Full Record
NPI
1720301757
Entity Type
Organization
Organization Name
Monroe Avenue Pharmacy Inc
Provider Other Organization Name Type Code
6
Mailing Street Address
2341 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-3024
Mailing Country
US
Mailing Phone
(585) 271-7716
Mailing Fax
(585) 461-9175
Practice Street Address
2341 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3024
Practice Country
US
Practice Phone
(585) 271-7716
Practice Fax
(585) 461-9175
Enumeration Date
March 04, 2010
Last Updated
May 14, 2012
Authorized Official Last Name
Gignac
Authorized Official First Name
Rene
Authorized Official Title
Owner
Authorized Official Phone
(585) 271-7716
Organization Subpart
No
Taxonomies
Pharmacy (333600000X), Community/Retail Pharmacy (3336C0003X), Compounding Pharmacy (3336C0004X)
Other Identifiers
5801205 (Ncpdp Provider Identification Number)