Provider Demographics
NPI:1598005332
Name:SCOGLIO, ALEXANDER WILLIAM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:WILLIAM
Last Name:SCOGLIO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 MARKETPLACE DR
Mailing Address - Street 2:T-1157 PHARMACY
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-6009
Mailing Address - Country:US
Mailing Address - Phone:585-424-2820
Mailing Address - Fax:
Practice Address - Street 1:500 MEDLEY CENTRE PKWY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2447
Practice Address - Country:US
Practice Address - Phone:585-797-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20057792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist