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NPI Code Detail

MEDICARE: SHAREN KALISZ

MEDICARE:   SHAREN  KALISZ
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
1183500000XPharmacist031679NY

General Provider Information

NPI Number : 1659694891
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAREN KALISZ
Provider Business Mailing Address
First Line : 1625 ELMWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14207-3015
Country : US
Telephone Number : 716-875-1972
Fax Number :
Provider Business Practice Location Address
First Line : 1625 ELMWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14207-3015
Country : US
Telephone Number : 716-875-1972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2010
Last Update Date : 03/02/2010

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Directions to “ SHAREN KALISZ ” Practice Location

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