Healthcare Provider Details

I. General information

NPI: 1578745832
Provider Name (Legal Business Name): ANTHONY HEMPEL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 NASH RD
NORTH TONAWANDA NY
14120-2338
US

IV. Provider business mailing address

1381 NASH RD
NORTH TONAWANDA NY
14120-2338
US

V. Phone/Fax

Practice location:
  • Phone: 716-694-0022
  • Fax: 716-694-2721
Mailing address:
  • Phone: 716-694-0022
  • Fax: 716-694-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number031239
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: