Healthcare Provider Details

I. General information

NPI: 1295167088
Provider Name (Legal Business Name): FELICIA LYNN GERFIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FELICIA LYNN STROM PHARMD

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

994 CASTLEBAR DR
NORTH TONAWANDA NY
14120-2914
US

IV. Provider business mailing address

994 CASTLEBAR DR
NORTH TONAWANDA NY
14120-2914
US

V. Phone/Fax

Practice location:
  • Phone: 401-261-7285
  • Fax:
Mailing address:
  • Phone: 401-261-7285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH05255
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number062582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: