| NPI | 1609429547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LAFAYETTE Director Of Operations 585-490-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-08-03 |