Monroe Ave Pharmacy

LBN: Monroe Avenue Pharmacy Inc
Monroe Ave Pharmacy is an health care organization with primary practice located at 2341 Monroe Ave , Rochester NY 14618-3024. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Monroe Avenue Pharmacy Inc can be contacted via phone (585) 271-7716, or through Gignac, Rene via phone (585) 271-7716.

Contact Information

Primary practice address
2341 Monroe Ave Rochester NY 14618-3024
Fax: (585) 461-9175
Website:
Authorized official contact:
Name: Gignac, Rene

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 029987 New York
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1720301757
LBN Legal business name Monroe Avenue Pharmacy Inc
DBA Doing business as Monroe Ave Pharmacy
Authorized official Gignac, Rene
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated May 14th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720301757 NPPES
Other 5801205 NCPDP PROVIDER IDENTIFICATION NUMBER

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