Healthcare Provider Details

I. General information

NPI: 1720267305
Provider Name (Legal Business Name): CRAIG KENNETH CENDROWSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ELMWOOD AVE
BUFFALO NY
14207-1908
US

IV. Provider business mailing address

2101 ELMWOOD AVE
BUFFALO NY
14207-1908
US

V. Phone/Fax

Practice location:
  • Phone: 716-515-0055
  • Fax: 855-331-9035
Mailing address:
  • Phone: 716-515-0055
  • Fax: 855-331-9035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045362
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: