Provider Demographics
NPI:1922184423
Name:CZAJKOWSKI, JAMES (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:CZAJKOWSKI
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 1:9641 CARMELO CT
Mailing Address - Street 2:
Mailing Address - City:CLARENCE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14032-9159
Mailing Address - Country:US
Mailing Address - Phone:716-741-3397
Mailing Address - Fax:741-741-3397
Practice Address - Street 1:9641 CARMELO CT
Practice Address - Street 2:
Practice Address - City:CLARENCE CENTER
Practice Address - State:NY
Practice Address - Zip Code:14032-9159
Practice Address - Country:US
Practice Address - Phone:716-741-3397
Practice Address - Fax:741-741-3397
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032424183500000X, 1835G0303X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric