Healthcare Provider Details

I. General information

NPI: 1811803158
Provider Name (Legal Business Name): OLIVIA JAROSZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6344 TRANSIT RD
DEPEW NY
14043-1095
US

IV. Provider business mailing address

39 WETHERSTONE DR
WEST SENECA NY
14224-2536
US

V. Phone/Fax

Practice location:
  • Phone: 716-683-9444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074295
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: