Provider Demographics
NPI:1750456430
Name:WILLIAM FRANK KANIA
Entity Type:Organization
Organization Name:WILLIAM FRANK KANIA
Other - Org Name:WILLIAM F. KANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:KANIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-823-3131
Mailing Address - Street 1:1385 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:LACKAWANNA
Mailing Address - State:NY
Mailing Address - Zip Code:14218-2001
Mailing Address - Country:US
Mailing Address - Phone:716-823-3131
Mailing Address - Fax:716-823-0405
Practice Address - Street 1:1385 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-2001
Practice Address - Country:US
Practice Address - Phone:716-823-3131
Practice Address - Fax:716-823-0405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0243771333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0134030001Medicare NSC