Individual
ALYSSA JEAN KOSTECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7182 BOSTON STATE RD, HAMBURG, NY 14075-6933
(716) 648-1610
Mailing address
501 GIRARD AVE, EAST AURORA, NY 14052-1439
(716) 392-0841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068420
NY
Other
Enumeration date
10/13/2021
Last updated
07/13/2022
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