Individual
COLLEEN M KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
511 FARBER LAKES DR, BUFFALO, NY 14221-5779
(716) 635-3824
Mailing address
511 FARBER LAKES DR, BUFFALO, NY 14221-5779
(716) 635-3824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052696
NY
Other
Enumeration date
07/31/2008
Last updated
08/15/2011
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