| NPI | 1457917544 |
|---|---|
| Doing Business As | BLACK ROCK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRADLEY JOHN ARTHUR Owner 716-876-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |