Provider Demographics
NPI:1093037590
Name:SODARO, HEATHER MAY (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MAY
Last Name:SODARO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5783 S TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5811
Mailing Address - Country:US
Mailing Address - Phone:716-438-2748
Mailing Address - Fax:716-438-9887
Practice Address - Street 1:5783 S TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5811
Practice Address - Country:US
Practice Address - Phone:716-438-2748
Practice Address - Fax:716-438-9887
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist