| NPI | 1548825482 |
|---|---|
| Other Name | JRCHC PHARMACY @ BROADWAY |
| Entity Type | Organization |
| Authorized Contact | JACKIE ENDRESS Credentialing Specialist 716-348-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2021-05-13 |