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NPI Code Detail

MEDICARE: JENNA MAE ANDRZEJEWSKI PHARM.D.

MEDICARE: JENNA MAE ANDRZEJEWSKI PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist060599NY

General Provider Information

NPI Number : 1417331455
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA MAE ANDRZEJEWSKI PHARM.D.
Provider Business Mailing Address
First Line : 3488 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1337
Country : US
Telephone Number : 716-834-7223
Fax Number :
Provider Business Practice Location Address
First Line : 3488 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1337
Country : US
Telephone Number : 716-834-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2015
Last Update Date : 04/20/2017

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