National Provider Identifier
Jodi Lynne Waller, PHARMD
Jodi Lynne Waller, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Cheektowaga, NY and a listed phone number of (716) 891-2560.
Profile Overview
- NPI
- 1366889008
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- June 03, 2013
- Last Updated
- June 03, 2013
Practice Location
- 2605 Harlem RD
- Cheektowaga, NY 14225-4018
Phone: (716) 891-2560
Mailing Address
- 411 Lamarck Dr
- Cheektowaga, NY 14225-1169
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1366889008
- Entity Type
- Individual
- Last Name
- Waller
- First Name
- Jodi
- Middle Name
- Lynne
- Credential
- PHARMD
- Mailing Street Address
- 411 Lamarck Dr
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1169
- Mailing Country
- US
- Practice Street Address
- 2605 Harlem RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4018
- Practice Country
- US
- Practice Phone
- (716) 891-2560
- Enumeration Date
- June 03, 2013
- Last Updated
- June 03, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)