Individual
AMY LENWEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6789 E GENESEE ST, FAYETTEVILLE, NY 13066-1640
(315) 476-9954
(315) 471-0006
Mailing address
6789 E GENESEE ST, FAYETTEVILLE, NY 13066-1640
(315) 476-9954
(315) 471-0006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045177
NY
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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