NPI | 1013495423 |
---|---|
Doing Business As | RIVERVIEW PROFESSIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | JUSTIN T WACLAWEK COO 716-876-2323 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 036719) |
Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2018-07-30 |
Last Update Date | 2024-08-07 |