Provider Demographics
NPI:1780968891
Name:FLOOD, ANDREW J (PHARM D)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:FLOOD
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 1:504 OXFORD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3259
Mailing Address - Country:US
Mailing Address - Phone:585-752-4277
Mailing Address - Fax:
Practice Address - Street 1:500 MEDLEY CENTRE PKWY
Practice Address - Street 2:
Practice Address - City:IRONDEQUOIT
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:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist