Provider Demographics
NPI:1750101945
Name:DECKER, ANDREW SHERMAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SHERMAN
Last Name:DECKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7148 BEAR SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589-9736
Mailing Address - Country:US
Mailing Address - Phone:607-267-9553
Mailing Address - Fax:
Practice Address - Street 1:7148 BEAR SWAMP RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:NY
Practice Address - Zip Code:14589-9736
Practice Address - Country:US
Practice Address - Phone:607-267-9553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0611891835P0200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0200XPharmacy Service ProvidersPharmacistPediatrics