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NPI Code Detail

MEDICARE: DAWN JANISH R.PH.

MEDICARE: DAWN JANISH R.PH.
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
1183500000XPharmacist042873NY

General Provider Information

NPI Number : 1629392816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN JANISH R.PH.
Provider Business Mailing Address
First Line : 2043 KENSINGTON AVE
Second Line :
City : AMHERST
State : NY
Zip : 14226-4722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2043 KENSINGTON AVE
Second Line :
City : AMHERST
State : NY
Zip : 14226-4722
Country : US
Telephone Number : 716-839-1906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2010
Last Update Date : 03/17/2010

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