Provider Demographics
NPI:1417987702
Name:FUCILE, NANCY W (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:W
Last Name:FUCILE
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 1:167 MAPLEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1524
Mailing Address - Country:US
Mailing Address - Phone:716-836-5335
Mailing Address - Fax:
Practice Address - Street 1:167 MAPLEVIEW RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1524
Practice Address - Country:US
Practice Address - Phone:716-836-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042976-11835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy