Individual
AMANDA LYNN ANTONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9062 ERIE RD, ANGOLA, NY 14006-8824
(716) 549-2701
(716) 549-8444
Mailing address
9062 ERIE RD, ANGOLA, NY 14006-8824
(716) 549-2701
(716) 549-8444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050358
NY
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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