Provider Demographics
NPI:1619249448
Name:CARDINAL, ANIELA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANIELA
Middle Name:
Last Name:CARDINAL
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 1:61 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1705
Mailing Address - Country:US
Mailing Address - Phone:716-901-6619
Mailing Address - Fax:
Practice Address - Street 1:3085 S PARK AVE
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-3109
Practice Address - Country:US
Practice Address - Phone:716-824-6263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist