Provider Demographics
NPI:1942482054
Name:POCZCIWINSKI, PATRICIA M (RPH)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:POCZCIWINSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 PORTAGE RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1924
Mailing Address - Country:US
Mailing Address - Phone:716-284-9956
Mailing Address - Fax:716-284-0425
Practice Address - Street 1:738 PORTAGE RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1924
Practice Address - Country:US
Practice Address - Phone:716-284-9956
Practice Address - Fax:716-284-0425
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist