Healthcare Provider Details

I. General information

NPI: 1700597374
Provider Name (Legal Business Name): VITO JAMES ZAGARRIO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 12/10/2022
Certification Date: 12/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GENESEE ST
CHEEKTOWAGA NY
14225-2805
US

IV. Provider business mailing address

2401 GENESEE ST
CHEEKTOWAGA NY
14225-2805
US

V. Phone/Fax

Practice location:
  • Phone: 716-895-8271
  • Fax:
Mailing address:
  • Phone: 716-895-8271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI068128
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: