| NPI | 1376711952 |
|---|---|
| Doing Business As | PINE PHARMACEY AT TWELVE CORNERS LLC |
| Entity Type | Organization |
| Authorized Contact | ALFONSE MUTO Owner 716-628-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 033859) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2015-10-19 |