National Provider Identifier

Nicole Maria Petrella, PHARMD

Nicole Maria Petrella, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacy in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1962053181Rochester, NYPharmacy

Profile Overview

NPI
1962053181
Provider Type
Individual
Primary Specialty
Pharmacy
Enumeration Date
September 28, 2019
Last Updated
June 28, 2020

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-3021

Phone: (585) 275-2100

Mailing Address

  • 28 Angela Villa Ln
  • Rochester, NY 14626-1766

Specialties

  • Pharmacy (333600000X)
Full Record
NPI
1962053181
Entity Type
Individual
Last Name
Petrella
First Name
Nicole
Middle Name
Maria
Credential
PHARMD
Mailing Street Address
28 Angela Villa Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1766
Mailing Country
US
Mailing Phone
(585) 749-7177
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-3021
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
September 28, 2019
Last Updated
June 28, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
June 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacy (333600000X)