| NPI | 1164539938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G RUSSELL Pharmacy Director 716-886-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023083) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |