National Provider Identifier
Kelly C Izydorczak, RPH
Kelly C Izydorczak, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in East Aurora, NY and a listed phone number of (716) 652-1813.
Profile Overview
- NPI
- 1790804755
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- March 28, 2007
- Last Updated
- July 08, 2007
Practice Location
- 650 Main St
- East Aurora, NY 14052-2423
Phone: (716) 652-1813
Mailing Address
- 793 Warren Dr
- East Aurora, NY 14052-1925
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1790804755
- Entity Type
- Individual
- Last Name
- Izydorczak
- First Name
- Kelly
- Middle Name
- C
- Name Prefix
- Mr.
- Credential
- RPH
- Mailing Street Address
- 793 Warren Dr
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-1925
- Mailing Country
- US
- Mailing Phone
- (716) 655-3582
- Practice Street Address
- 650 Main St
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-2423
- Practice Country
- US
- Practice Phone
- (716) 652-1813
- Practice Fax
- (716) 652-4230
- Enumeration Date
- March 28, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)