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Colleen Gardon

Pharmacist in Kenmore, NY. Individual provider (NPI-1).

NPI number1205211596
StatusActive
Last updated in NPPESJul 28, 2015

Details

NPI
1205211596
Entity type
Individual (NPI-1)
Name
Colleen Gardon
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2015
Last updated
Jul 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist060616-INYYes

Practice location

654 Colvin Blvd
Kenmore, NY 14217-2825

Phone 716-447-9128

Mailing address

293 Victoria Blvd
Kenmore, NY 14217-2214

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