National Provider Identifier

Jacqueline Ann Cansdale

Jacqueline Ann Cansdale is listed in the NPPES registry with a primary specialty of Pharmacist in Depew, NY and a listed phone number of (716) 608-2021.

NPI 1063690253Depew, NYPharmacist

Profile Overview

NPI
1063690253
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
February 10, 2008
Last Updated
February 10, 2008

Practice Location

  • 4920 Transit RD
  • T2191
  • Depew, NY 14043-4625

Phone: (716) 608-2021

Mailing Address

  • 28 Americo Ct
  • Lancaster, NY 14086-3424

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1063690253
Entity Type
Individual
Last Name
Cansdale
First Name
Jacqueline
Middle Name
Ann
Name Prefix
Miss
Mailing Street Address
28 Americo Ct
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-3424
Mailing Country
US
Mailing Phone
(716) 683-4120
Practice Street Address
4920 Transit RD
Practice Address Line 2
T2191
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-4625
Practice Country
US
Practice Phone
(716) 608-2021
Practice Fax
(716) 608-2021
Enumeration Date
February 10, 2008
Last Updated
February 10, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)