| NPI | 1194486548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRUS ARDALAN Supervising Pharmacist 716-796-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |