Provider Demographics
NPI:1972825446
Name:AKROMAS, EDWARD LEONARD (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:LEONARD
Last Name:AKROMAS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1082
Mailing Address - Country:US
Mailing Address - Phone:716-827-5490
Mailing Address - Fax:716-827-5496
Practice Address - Street 1:815 HARLEM RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1082
Practice Address - Country:US
Practice Address - Phone:716-827-5490
Practice Address - Fax:716-827-5496
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI-031448-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist