Individual
MR. CHRISTAN JON NYWEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
105 W MAIN ST, SHERMAN, NY 14781-9701
(716) 761-6876
(716) 761-6224
Mailing address
PO BOX 647, SHERMAN, NY 14781-1647
(716) 761-6876
(716) 761-6224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039552
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00809361
—
NY
Enumeration date
11/09/2007
Last updated
04/30/2021
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