Individual
DEANNA PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
ELM & CARLTON STREETS, MAIN HOSPITAL, ROSWELL PARK CANCER INSTITUTE, BUFFALO, NY 14623
(716) 845-4046
Mailing address
ROSWELL PARK CANCER INSTITUTE, ELM AND CARLTON ST, MAIN HOSPITAL, BUFFALO, NY 14263-0001
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
052927
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052927
PHARMACY LICENSE
NY
Enumeration date
07/13/2015
Last updated
07/13/2015
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