Provider Demographics
NPI:1538340278
Name:LOVE, DARREN W (RPH)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:W
Last Name:LOVE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5237 WOODRICH CT
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3937
Mailing Address - Country:US
Mailing Address - Phone:716-646-5653
Mailing Address - Fax:716-646-5653
Practice Address - Street 1:184 SO CASCADE DR
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141
Practice Address - Country:US
Practice Address - Phone:716-592-7031
Practice Address - Fax:716-592-7375
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist