National Provider Identifier
Michaela Camille Raes, PHARMD
Michaela Camille Raes, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 862-8523.
Profile Overview
- NPI
- 1528512787
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 05, 2016
- Last Updated
- December 21, 2019
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-8523
Specialties
- Pharmacist (183500000X)
- Pharmacist (183500000X)
Full Record
- NPI
- 1528512787
- Entity Type
- Individual
- Last Name
- Raes
- First Name
- Michaela
- Middle Name
- Camille
- Credential
- PHARMD
- Provider Other Last Name
- Lysogorski
- Provider Other First Name
- Michaela
- Provider Other Middle Name
- Camille
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3495 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Mailing Phone
- (716) 862-9200
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-8523
- Enumeration Date
- August 05, 2016
- Last Updated
- December 21, 2019
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 21, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X), Pharmacist (183500000X)