| NPI | 1306699699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED NOUR Supervising Pharmacist 716-248-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |