Individual provider · Type 1 NPI

Kelly C. Izydorczak, RPH

Pharmacist · East Aurora, NY

NPI number 1790804755 Active

Practice location

650 Main St
East Aurora, NY 14052-2423

Call (716) 652-1813 Map

Fax (716) 652-4230

Mailing address

793 Warren Dr
East Aurora, NY 14052-1925

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X040143 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1790804755

Kelly C. Izydorczak, RPH's National Provider Identifier is 1790804755, issued on Mar 28, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in East Aurora, NY. The record was last updated on Jul 8, 2007.