Provider Demographics
NPI:1144606278
Name:ZAWIERUCHA, LINDSEY M (PHARMD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:ZAWIERUCHA
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 1:3820 SOWLES RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-2309
Mailing Address - Country:US
Mailing Address - Phone:716-598-0670
Mailing Address - Fax:
Practice Address - Street 1:3820 SOWLES RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-2309
Practice Address - Country:US
Practice Address - Phone:716-598-0670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist