MR. Kelly C Izydorczak, RPH
NPI #1790804755 in East Aurora, New York
Provider Information
- NPI Number
- 1790804755
- Entity Type
- Individual
- Name
- MR. Kelly C Izydorczak, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 650 MAIN ST
- City
- East Aurora
- State
- New York
- ZIP Code
- 14052-2423
- Phone
- (716) 652-1813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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