| NPI | 1649512179 |
|---|---|
| Doing Business As | CHIP ORAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THOMAS M GLEASON Director Of Finance 716-706-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 17-029376) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NY 17-029376) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 17-029376) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-06-05 |