| NPI | 1043314008 |
|---|---|
| Doing Business As | PINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFONSE MUTO President/Owner 716-282-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026390) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-05-18 |