Individual provider · Type 1 NPI

Nicholas Theodorou, RPH

Pharmacist · Fairport, NY

NPI number 1093047656 Active

Practice location

4646 Nine Mile Point Rd
Fairport, NY 14450-1163

Call (585) 388-2342 Map

Mailing address

30 Wild Berry Ln
Pittsford, NY 14534-9525

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X043561 (NY)
Pharmacist 183500000X3515 (RI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093047656

Nicholas Theodorou, RPH's National Provider Identifier is 1093047656, issued on Feb 8, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fairport, NY. The record was last updated on Feb 8, 2010.