National Provider Identifier

Mark Kroetsch, RPH

Mark Kroetsch, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 877-1477.

NPI 1932354610Buffalo, NYPharmacist

Profile Overview

NPI
1932354610
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 24, 2008
Last Updated
November 24, 2008

Practice Location

  • 601 Amherst St
  • Attn: Pharmacy Manager
  • Buffalo, NY 14207-2901

Phone: (716) 877-1477

Mailing Address

  • 1500 Brooks Ave
  • Attn: Pharmacy Office
  • Rochester, NY 14624-3512

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1932354610
Entity Type
Individual
Last Name
Kroetsch
First Name
Mark
Credential
RPH
Mailing Street Address
1500 Brooks Ave
Mailing Address Line 2
Attn: Pharmacy Office
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-3512
Mailing Country
US
Mailing Phone
(585) 279-4355
Mailing Fax
(585) 239-2015
Practice Street Address
601 Amherst St
Practice Address Line 2
Attn: Pharmacy Manager
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-2901
Practice Country
US
Practice Phone
(716) 877-1477
Practice Fax
(716) 877-2331
Enumeration Date
November 24, 2008
Last Updated
November 24, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
034153 (NY, Pharmacist License)