Jacquelyn Dwyer

Pharmacist · Rotterdam, NY

Individual Active NPI

NPI number 1104218064

Practice location

3075 Broadway
Rotterdam, NY 12306-2131
Phone
(518) 357-2495
Fax
(518) 357-0207

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NPI record

NPI
1104218064
Entity type
Individual (Type 1)
Enumeration date
March 2, 2015
Last updated
March 2, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 058144 NY

About Jacquelyn Dwyer

Jacquelyn Dwyer is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3075 Broadway, Rotterdam, NY 12306-2131. The NPI number 1104218064 was assigned on March 2, 2015 and the record was last updated on March 2, 2015.

Jacquelyn Dwyer lists a license in the registry: #058144 (NY) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacquelyn Dwyer?

The NPI number is 1104218064.

What is the phone number of Jacquelyn Dwyer?

The phone number listed for the practice location is (518) 357-2495.

Where is Jacquelyn Dwyer located?

3075 Broadway, Rotterdam, NY 12306-2131.

What is the taxonomy code for Jacquelyn Dwyer?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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