Healthcare Provider Details

I. General information

NPI: 1962438077
Provider Name (Legal Business Name): ROBIN MARIE FRUEHAUF R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3242 MAIN ST
YORKSHIRE NY
14173-9801
US

IV. Provider business mailing address

276 E MAIN ST
SPRINGVILLE NY
14141-1420
US

V. Phone/Fax

Practice location:
  • Phone: 716-492-0176
  • Fax:
Mailing address:
  • Phone: 716-592-5926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number041517
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: