National Provider Identifier
Lyell Ave Pharmacy Inc
Lyell Ave Pharmacy 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) 546-1150.
Profile Overview
- NPI
- 1740449503
- Provider Type
- Organization
- Primary Specialty
- Community/Retail Pharmacy
- Enumeration Date
- June 06, 2008
- Last Updated
- June 15, 2009
Practice Location
- 115 Lyell Ave
- Rochester, NY 14608-1312
Phone: (585) 546-1150
Specialties
- Community/Retail Pharmacy (3336C0003X)
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1740449503
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Lyell Ave Pharmacy Inc
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 115 Lyell Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1312
- Mailing Country
- US
- Mailing Phone
- (585) 546-1150
- Practice Street Address
- 115 Lyell Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1312
- Practice Country
- US
- Practice Phone
- (585) 546-1150
- Enumeration Date
- June 06, 2008
- Last Updated
- June 15, 2009
- Authorized Official Last Name
- Palmeri
- Authorized Official First Name
- Sherri
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 546-1150
- Organization Subpart
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community/Retail Pharmacy (3336C0003X), Durable Medical Equipment & Medical Supplies (332B00000X)
- Other Identifiers
- 3358581 (Ncpdp Provider Identification Number)