| NPI | 1073821765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN HEINTZ Secretary 585-429-3902 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2024-01-11 |