Provider Demographics
NPI:1518299148
Name:FLEISCHMAN, CHESTER ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHESTER
Middle Name:ARTHUR
Last Name:FLEISCHMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1230
Mailing Address - Country:US
Mailing Address - Phone:716-675-4958
Mailing Address - Fax:716-675-6731
Practice Address - Street 1:3201 SOUTHWESTERN BLVD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1230
Practice Address - Country:US
Practice Address - Phone:716-675-4958
Practice Address - Fax:716-675-6731
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-07
Last Update Date:2010-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist