Individual
AMBER L JERAULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4417 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 770-7365
(607) 240-2984
Mailing address
4417 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 770-7365
(607) 240-2984
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
RP440432
PA
1835P2201X
Ambulatory Care Pharmacist
Primary
061501
NY
Other
Enumeration date
06/10/2007
Last updated
01/03/2019
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