National Provider Identifier
Jenna L Tiedemann, BA, PHARMD
Jenna L Tiedemann, BA, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Williamsville, NY and a listed phone number of (716) 568-3784.
Profile Overview
- NPI
- 1992858708
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- January 18, 2007
- Last Updated
- February 27, 2018
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 568-3784
Mailing Address
- 1540 Maple Road
- Wi, NY 14224-1324
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1992858708
- Entity Type
- Individual
- Last Name
- Tiedemann
- First Name
- Jenna
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- BA, PHARMD
- Mailing Street Address
- 1540 Maple Road
- Mailing City
- Wi
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1324
- Mailing Country
- US
- Mailing Phone
- (716) 656-4070
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-3784
- Practice Fax
- (716) 568-3780
- Enumeration Date
- January 18, 2007
- Last Updated
- February 27, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)