| NPI | 1457458390 |
|---|---|
| Doing Business As | ECMC EAST SIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY STOLARSKI Supervising Phct 716-891-2015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NY 018243) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-08 |