Provider Demographics
NPI:1972785681
Name:HEALY, CHRISTY ANN (PHARM D)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:HEALY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561 UNION RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-2205
Mailing Address - Country:US
Mailing Address - Phone:716-668-6024
Mailing Address - Fax:716-656-9153
Practice Address - Street 1:2561 UNION RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-2205
Practice Address - Country:US
Practice Address - Phone:716-668-6024
Practice Address - Fax:716-656-9153
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist