MEDICARE: LISA MARIE WILKINSON 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
1	183500000X	Pharmacist	051034	NY

General Provider Information

NPI Number	:	1437336328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MARIE WILKINSON PHARM D

Provider Business Mailing Address
First Line	:	747 KENMORE AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14223-3106
Country	:	US
Telephone Number	:	716-262-0233
Fax Number	:	716-262-0238

Provider Business Practice Location Address
First Line	:	747 KENMORE AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14223-3106
Country	:	US
Telephone Number	:	716-262-0233
Fax Number	:	716-262-0238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	03/14/2026

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