| NPI | 1023713625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN WACLAWEK COO 716-876-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |