Individual
MR. CHRISTOPHER THOMAS CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2740 MAIN ST, NEWFANE, NY 14108-1206
(716) 778-7422
(716) 778-5289
Mailing address
5735 MCKEE RD, NEWFANE, NY 14108-9612
(716) 778-5529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045452
STATE PHARMACY LICENSE
NY
Enumeration date
12/09/2006
Last updated
07/08/2007
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