| NPI | 1225102759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOESPH RUTOWSKI Rph 716-632-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 0016239) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-11-14 |