| NPI | 1740449503 |
|---|---|
| Doing Business As | LYELL AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHERRI PALMERI President 585-546-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028924) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2009-06-15 |