National Provider Identifier
Phillip Petoniak, RPH
Phillip Petoniak, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in West Seneca, NY and a listed phone number of (716) 675-3784.
Profile Overview
- NPI
- 1215221791
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- June 02, 2011
- Last Updated
- June 02, 2011
Practice Location
- 40 N America Dr
- Suite 100
- West Seneca, NY 14224-2225
Phone: (716) 675-3784
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1215221791
- Entity Type
- Individual
- Last Name
- Petoniak
- First Name
- Phillip
- Name Prefix
- Mr.
- Credential
- RPH
- Mailing Street Address
- 40 N America Dr
- Mailing Address Line 2
- Suite 100
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2225
- Mailing Country
- US
- Mailing Phone
- (716) 675-3784
- Mailing Fax
- (716) 675-7777
- Practice Street Address
- 40 N America Dr
- Practice Address Line 2
- Suite 100
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-2225
- Practice Country
- US
- Practice Phone
- (716) 675-3784
- Practice Fax
- (716) 675-7777
- Enumeration Date
- June 02, 2011
- Last Updated
- June 02, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)