Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Nov 14, 2025
License(s)
073332 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 30 W BROAD ST APT 402 | Rochester, NY 14614-2128 | |
| LOCATION | 601 ELMWOOD AVE | Rochester, NY 14642-0001 | 585-275-2100 |
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