| NPI | 1346439924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ARDALAN Owner 716-827-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028552) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2025-01-20 |