Provider Demographics
NPI:1861512246
Name:NUFRYK, MARY ELIZABETH (RPH PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:NUFRYK
Suffix:
Gender:F
Credentials:RPH PHARMACIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:679 VOSBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-1537
Mailing Address - Country:US
Mailing Address - Phone:585-748-4605
Mailing Address - Fax:585-323-2810
Practice Address - Street 1:4414 CULVER RD
Practice Address - Street 2:W.A.B. DRUG
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?:No
Enumeration Date:2007-03-30
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0322411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist