MEDICARE: JENNIFER BORSICK RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	044517	NY

General Provider Information

NPI Number	:	1538485743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BORSICK RPH

Provider Business Mailing Address
First Line	:	3145 NIAGARA FALLS BLVD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-1640
Country	:	US
Telephone Number	:	716-691-0810
Fax Number	:	716-691-0823

Provider Business Practice Location Address
First Line	:	3145 NIAGARA FALLS BLVD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228-1640
Country	:	US
Telephone Number	:	716-691-0810
Fax Number	:	716-691-0823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2010
Last Update Date	:	04/13/2010

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