Provider Demographics
NPI:1457798720
Name:MCQUADE, PATRICK ROSS (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ROSS
Last Name:MCQUADE
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BRANTFORD PL
Mailing Address - Street 2:APT. 1
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1209
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 BRANTFORD PL
Practice Address - Street 2:APT. 1
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1209
Practice Address - Country:US
Practice Address - Phone:716-803-9028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist