| NPI | 1699371120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MACEVOY Pharmacist 716-923-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-02-13 |