| NPI | 1578858262 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | CYRUS ARDALAN Owner 716-796-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030656) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-01-06 |