NPI 1003466905

Gregory Micoli

Practitioner Pharmacist Buffalo, NY

Practice location

Address: 3495 Bailey Ave, Buffalo, NY 14215-1129
Phone: (716) 834-9200
Mailing address: 771 Thomas Fox Dr W, North Tonawanda, NY 14120-2933

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26617 (NC)

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Registry record

NPI: 1003466905
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2019
Record last updated: 13 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.