OrganizationActive
Pine Pharmacey at Twelve Corners LLC
NPI 1376711952 · Compounding Pharmacy · Rochester, NY
Provider details
- NPI number
- 1376711952
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alfonse Muto, Owner(716) 628-4986
- License
- 033859 (NY)
Specialties & taxonomies
Suppliers
Practice location
1832 Monroe Ave
Rochester, NY 14618-1922
Phone: (585) 244-8600
Fax: (585) 697-3490
Approximate (ZIP-level) locationGet directions
Mailing address
1832 Monroe Ave
Rochester, NY 14618-1922
Other names (DBA / former)
- Doing business as
- Pine Pharmacey at Twelve Corners LLC
Registry dates
- Enumerated
- 2008-02-15
- Last updated
- 2015-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.