| NPI | 1033221031 |
|---|---|
| Doing Business As | UPSTATE PHARMACY LTD |
| Entity Type | Organization |
| Authorized Contact | TED KUZNIRREK VP 716-675-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 023581) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-05-01 |