Provider Demographics
NPI:1528057247
Name:BATTIN, JENNIFER L (RPH,CGP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:L
Last Name:BATTIN
Suffix:
Gender:F
Credentials:RPH,CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 COOLIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2025
Mailing Address - Country:US
Mailing Address - Phone:716-824-6447
Mailing Address - Fax:716-631-0165
Practice Address - Street 1:2355 UNION RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-2234
Practice Address - Country:US
Practice Address - Phone:716-631-2433
Practice Address - Fax:716-631-0165
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist