Provider Demographics
NPI:1124350335
Name:KELLER, RITA CONTI (RPH)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:CONTI
Last Name:KELLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WOOLSTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-9774
Mailing Address - Country:US
Mailing Address - Phone:585-264-1187
Mailing Address - Fax:
Practice Address - Street 1:2325 MARKETPLACE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-6009
Practice Address - Country:US
Practice Address - Phone:585-424-2820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist