| NPI | 1467521799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OBROCHTA President/Owner 716-508-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 011114) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 011114) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 011114) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 011114) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-03-22 |