Provider Demographics
NPI:1437145976
Name:ZIELINSKI, GEOFFREY CHARLES (RPH, CGP)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:CHARLES
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-0008
Mailing Address - Country:US
Mailing Address - Phone:716-692-2020
Mailing Address - Fax:716-692-5565
Practice Address - Street 1:7229 ERICA LN
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4900
Practice Address - Country:US
Practice Address - Phone:716-692-2020
Practice Address - Fax:716-692-5565
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0328321835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy