Provider Demographics
NPI:1407215890
Name:MUSCARI, ANTHONY ELLSWORTH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ELLSWORTH
Last Name:MUSCARI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 E RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-1936
Mailing Address - Country:US
Mailing Address - Phone:585-467-0634
Mailing Address - Fax:
Practice Address - Street 1:999 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-1936
Practice Address - Country:US
Practice Address - Phone:585-467-0634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist