Provider Demographics
NPI:1376865873
Name:FEMIA, ROCCO MICHAEL (RPH)
Entity Type:Individual
Prefix:
First Name:ROCCO
Middle Name:MICHAEL
Last Name:FEMIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5987
Mailing Address - Country:US
Mailing Address - Phone:315-792-4669
Mailing Address - Fax:315-792-6991
Practice Address - Street 1:485 FRENCH RD
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5987
Practice Address - Country:US
Practice Address - Phone:315-792-4669
Practice Address - Fax:315-792-6991
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist