Provider Demographics
NPI:1326220427
Name:BOMPCZYK, NANCY M (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:BOMPCZYK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 DELAWARE RD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1006
Mailing Address - Country:US
Mailing Address - Phone:716-877-3253
Mailing Address - Fax:
Practice Address - Street 1:2453 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2245
Practice Address - Country:US
Practice Address - Phone:716-876-3097
Practice Address - Fax:716-873-8863
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist