Provider Demographics
NPI:1427187723
Name:LINK, ANDREA ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ANN
Last Name:LINK
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 1:9 SHERRELWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1755
Mailing Address - Country:US
Mailing Address - Phone:716-688-4160
Mailing Address - Fax:
Practice Address - Street 1:1185 SWEET HOME RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1018
Practice Address - Country:US
Practice Address - Phone:716-689-3471
Practice Address - Fax:716-689-3472
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020-032328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist