Provider First Line Business Practice Location Address:
2301 LYELL AVE
Provider Second Line Business Practice Location Address:
ATTN: PHARMACY MANAGER
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14606-5735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-429-5590
Provider Business Practice Location Address Fax Number:
585-429-5029
Provider Enumeration Date:
11/22/2005