| NPI | 1093784738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B CARLO Director Of Managed Care 585-239-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 021109) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |