| NPI | 1194824318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MOOREHEAD PIC 716-662-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 010413) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 010413) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 010413) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-02-01 |