National Provider Identifier
Jerrold William Dushaw, RPH
Jerrold William Dushaw, RPH is listed in the NPPES registry with a primary specialty of Pharmacotherapy Pharmacist in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1023042553
- Provider Type
- Individual
- Primary Specialty
- Pharmacotherapy Pharmacist
- Enumeration Date
- July 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Avenue
- Va Western New York
- Buffalo, NY 14215-1199
Phone: (716) 834-9200
Mailing Address
- 5401 Old Lake Shore RD
- Lake View, NY 14085-9751
Specialties
- Pharmacotherapy Pharmacist (1835P1200X)
Full Record
- NPI
- 1023042553
- Entity Type
- Individual
- Last Name
- Dushaw
- First Name
- Jerrold
- Middle Name
- William
- Name Prefix
- Mr.
- Credential
- RPH
- Mailing Street Address
- 5401 Old Lake Shore RD
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9751
- Mailing Country
- US
- Mailing Phone
- (716) 627-3543
- Mailing Fax
- (716) 862-6348
- Practice Street Address
- 3495 Bailey Avenue
- Practice Address Line 2
- Va Western New York
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1199
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Practice Fax
- (716) 862-6348
- Enumeration Date
- July 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacotherapy Pharmacist (1835P1200X)