National Provider Identifier

Colleen Gardon

Colleen Gardon is listed in the NPPES registry with a primary specialty of Pharmacist in Kenmore, NY and a listed phone number of (716) 447-9128.

NPI 1205211596Kenmore, NYPharmacist

Profile Overview

NPI
1205211596
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
July 28, 2015
Last Updated
July 28, 2015

Practice Location

  • 654 Colvin Blvd
  • Kenmore, NY 14217-2825

Phone: (716) 447-9128

Mailing Address

  • 293 Victoria Blvd
  • Kenmore, NY 14217-2214

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1205211596
Entity Type
Individual
Last Name
Gardon
First Name
Colleen
Mailing Street Address
293 Victoria Blvd
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2214
Mailing Country
US
Practice Street Address
654 Colvin Blvd
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2825
Practice Country
US
Practice Phone
(716) 447-9128
Enumeration Date
July 28, 2015
Last Updated
July 28, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)