National Provider Identifier

Douglas George Rademaker, PHARMACIST

Douglas George Rademaker, PHARMACIST is listed in the NPPES registry with a primary specialty of Pharmacist in Medina, NY and a listed phone number of (585) 798-1212.

NPI 1518081876Medina, NYPharmacist

Profile Overview

NPI
1518081876
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
March 19, 2007
Last Updated
July 08, 2007

Practice Location

  • 142 E Center St
  • Medina, NY 14103-1621

Phone: (585) 798-1212

Mailing Address

  • 4805 Sebastian Dr
  • Lockport, NY 14094-1807

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1518081876
Entity Type
Individual
Last Name
Rademaker
First Name
Douglas
Middle Name
George
Credential
PHARMACIST
Mailing Street Address
4805 Sebastian Dr
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-1807
Mailing Country
US
Mailing Phone
(716) 433-9522
Practice Street Address
142 E Center St
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-1621
Practice Country
US
Practice Phone
(585) 798-1212
Practice Fax
(585) 798-2041
Enumeration Date
March 19, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)