| NPI | 1356588891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL Director Of Pharmacy 716-706-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NY 029376) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2016-11-01 |