Provider Demographics
NPI:1386822351
Name:ALBERT, DOLA SETT (RPH)
Entity Type:Individual
Prefix:
First Name:DOLA
Middle Name:SETT
Last Name:ALBERT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NEUCHATEL LN
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-4636
Mailing Address - Country:US
Mailing Address - Phone:585-425-9488
Mailing Address - Fax:
Practice Address - Street 1:4414 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-1540
Practice Address - Country:US
Practice Address - Phone:585-323-1470
Practice Address - Fax:585-323-2810
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042278-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist