National Provider Identifier

Jiacheng Lin

Jiacheng Lin is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 828-0194.

NPI 1255936241Buffalo, NYPharmacist

Profile Overview

NPI
1255936241
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 30, 2020
Last Updated
November 30, 2020

Practice Location

  • 2175 S Park Ave
  • Buffalo, NY 14220-2231

Phone: (716) 828-0194

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1255936241
Entity Type
Individual
Last Name
Lin
First Name
Jiacheng
Mailing Street Address
2175 S Park Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-2231
Mailing Country
US
Mailing Phone
(718) 308-6112
Practice Street Address
2175 S Park Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2231
Practice Country
US
Practice Phone
(716) 828-0194
Enumeration Date
November 30, 2020
Last Updated
November 30, 2020
Sex
Male
Sole Proprietor
No
Certification Date
November 30, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)