Provider Demographics
NPI:1407266521
Name:GAISER, JESSICA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:GAISER
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 1:8363 LEWISTON RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1236
Mailing Address - Country:US
Mailing Address - Phone:585-345-0401
Mailing Address - Fax:585-345-0323
Practice Address - Street 1:8363 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1236
Practice Address - Country:US
Practice Address - Phone:585-345-0401
Practice Address - Fax:585-345-0323
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist