| NPI | 1518709153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASIN OMAR Owner/Supervising Pharmacist 716-465-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |