Provider Demographics
NPI:1841312220
Name:ONDESKO, JOHN P (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:ONDESKO
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 1:2590 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1506
Mailing Address - Country:US
Mailing Address - Phone:716-297-4474
Mailing Address - Fax:716-297-6344
Practice Address - Street 1:2590 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1506
Practice Address - Country:US
Practice Address - Phone:716-297-4474
Practice Address - Fax:716-297-6344
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist