Individual
MR. JERROLD WILLIAM DUSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3495 BAILEY AVENUE, VA WESTERN NEW YORK, BUFFALO, NY 14215-1199
(716) 834-9200
(716) 862-6348
Mailing address
5401 OLD LAKE SHORE RD, LAKE VIEW, NY 14085-9751
(716) 627-3543
(716) 862-6348
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
044167-1
NY
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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