GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI 1497811939

NPI Information

GENESEE VALLEY GROUP HEALTH ASSOCIATION is a clinic pharmacy pharmacy in Rochester, NY. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI is 1497811939. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
ZIP 14623-532
Phone: (585) 292-8488
Fax: (585) 292-6598

The provider's authorized official is Tiffany Katherine Pepe .
The authorized official title is Supervising Pharmacist and has the following contact phone number (585) 292-8488.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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