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1790804755
KELLY C IZYDORCZAK
EAST AURORA, NY
NPI
1790804755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 040143)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. KELLY C IZYDORCZAK RPh
650 MAIN ST
EAST AURORA, NY 14052-2423
Phone number: 716-652-1813
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Mailing Address
Mr. KELLY C IZYDORCZAK RPh
793 WARREN DR
EAST AURORA, NY 14052-1925
Phone number: 716-655-3582
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