| NPI | 1013572643 | 
|---|---|
| Doing Business As | VIC VENA PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | VICTOR ANTHONY VENA President 716-372-7761 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy | 
| Enumeration Date | 2019-05-09 | 
| Last Update Date | 2019-05-09 |