| NPI | 1174617658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VINTI Vice President/Pharmacist 716-882-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 017080) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |