Healthcare Provider Details

I. General information

NPI: 1841318318
Provider Name (Legal Business Name): CHESTER S HEJNA RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 FRENCH RD
DEPEW NY
14043-4879
US

IV. Provider business mailing address

1460 FRENCH RD
DEPEW NY
14043-4879
US

V. Phone/Fax

Practice location:
  • Phone: 716-668-5881
  • Fax: 716-656-7823
Mailing address:
  • Phone: 716-668-5881
  • Fax: 716-656-7823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025520
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: