| NPI | 1669706990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE CENTURIONE Finace Manager 716-835-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |