National Provider Identifier

Jacqueline Suzanne Skelton, RPH

Jacqueline Suzanne Skelton, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 581-5101.

NPI 1770639627Rochester, NYPharmacist

Profile Overview

NPI
1770639627
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
January 25, 2007
Last Updated
March 14, 2022

Practice Location

  • 3750 Mount Read Blvd
  • Rochester, NY 14616-3436

Phone: (585) 581-5101

Mailing Address

  • 30 Wind Way Cir
  • Rochester, NY 14624-2465

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1770639627
Entity Type
Individual
Last Name
Skelton
First Name
Jacqueline
Middle Name
Suzanne
Name Prefix
Mrs.
Credential
RPH
Provider Other Last Name
Kloch
Provider Other First Name
Jacqueline
Provider Other Middle Name
Suzanne
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
RPH
Provider Other Last Name Type Code
1
Mailing Street Address
30 Wind Way Cir
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2465
Mailing Country
US
Practice Street Address
3750 Mount Read Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-3436
Practice Country
US
Practice Phone
(585) 581-5101
Practice Fax
(585) 581-2646
Enumeration Date
January 25, 2007
Last Updated
March 14, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
March 14, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)