Provider Demographics
NPI:1144028150
Name:JEDRZEJCZYK, WIKTORIA (PHARMD)
Entity type:Individual
Prefix:
First Name:WIKTORIA
Middle Name:
Last Name:JEDRZEJCZYK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7279 CREEKBEND DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9732
Mailing Address - Country:US
Mailing Address - Phone:716-491-6191
Mailing Address - Fax:
Practice Address - Street 1:3135 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1656
Practice Address - Country:US
Practice Address - Phone:716-691-0810
Practice Address - Fax:716-691-0823
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist