MEDICARE: PATRICIA M POCZCIWINSKI 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
1	183500000X	Pharmacist	038697	NY

General Provider Information

NPI Number	:	1942482054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA M POCZCIWINSKI R.PH.

Provider Business Mailing Address
First Line	:	3345 BLOSSOM LN
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-1273
Country	:	US
Telephone Number	:	716-220-2996
Fax Number	:

Provider Business Practice Location Address
First Line	:	738 PORTAGE RD
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14301-1924
Country	:	US
Telephone Number	:	716-284-9956
Fax Number	:	716-284-0425

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

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	02/28/2025

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