Provider Demographics
NPI:1760218648
Name:GENESEO PHARMACY INC
Entity type:Organization
Organization Name:GENESEO PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMAIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:585-443-8014
Mailing Address - Street 1:4162 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-9730
Mailing Address - Country:US
Mailing Address - Phone:585-443-8014
Mailing Address - Fax:585-443-8015
Practice Address - Street 1:4162 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-9730
Practice Address - Country:US
Practice Address - Phone:585-443-8014
Practice Address - Fax:585-443-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy