National Provider Identifier

Sean Fetzer

Sean Fetzer is listed in the NPPES registry with a primary specialty of Pharmacist in Lewiston, NY and a listed phone number of (716) 298-2246.

NPI 1356985790Lewiston, NYPharmacist

Profile Overview

NPI
1356985790
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
October 29, 2019
Last Updated
October 29, 2019

Practice Location

  • 5300 Military RD
  • Lewiston, NY 14092-1903

Phone: (716) 298-2246

Mailing Address

  • 5300 Military RD
  • Lewiston, NY 14092-1997

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1356985790
Entity Type
Individual
Last Name
Fetzer
First Name
Sean
Mailing Street Address
5300 Military RD
Mailing City
Lewiston
Mailing State
NY
Mailing ZIP Code
14092-1997
Mailing Country
US
Mailing Phone
(716) 298-2246
Practice Street Address
5300 Military RD
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1903
Practice Country
US
Practice Phone
(716) 298-2246
Enumeration Date
October 29, 2019
Last Updated
October 29, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)