Healthcare Provider Details

I. General information

NPI: 1356528764
Provider Name (Legal Business Name): DAVID JOSEPH PACY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E MAIN ST
WESTFIELD NY
14787-1310
US

IV. Provider business mailing address

117 E MAIN ST
WESTFIELD NY
14787-1310
US

V. Phone/Fax

Practice location:
  • Phone: 716-326-3182
  • Fax: 716-326-6568
Mailing address:
  • Phone: 716-326-3182
  • Fax: 716-326-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number043673
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: