| NPI | 1659816916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TUCKER PIC/ Managing Member 585-236-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035126) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2017-01-18 |