Provider First Line Business Practice Location Address:
89 GENESEE ST
Provider Second Line Business Practice Location Address:
PARK RIDGE APOTHECARY, ST. MARY'S HOSPITAL
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14611-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-368-3928
Provider Business Practice Location Address Fax Number:
585-368-3929
Provider Enumeration Date:
03/31/2010