Individual provider · Type 1 NPI
Thomas R. Nettles, RPH
Pharmacist · Rochester, NY
Practice location
3750 Mount Read Boulevard, Cvs Pharmacy
Rochester, NY 14616
Fax (585) 581-2646
Mailing address
2937 W Kendall Rd
Holley, NY 14470-9519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 045260 (NY) |
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 1104095793
Thomas R. Nettles, RPH's National Provider Identifier is 1104095793, issued on Feb 27, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rochester, NY. The record was last updated on Feb 27, 2008.