Healthcare Provider Details

I. General information

NPI: 1235457797
Provider Name (Legal Business Name): CATHY CLARE DICHIARA R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2010
Last Update Date: 05/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 MAIN ST
AKRON NY
14001-1240
US

IV. Provider business mailing address

58 MAIN ST
AKRON NY
14001-1240
US

V. Phone/Fax

Practice location:
  • Phone: 716-542-6300
  • Fax: 716-542-6664
Mailing address:
  • Phone: 716-542-6300
  • Fax: 716-542-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number032696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: