| NPI | 1760663009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT HAMED Director Of Pharmacy 716-635-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 025108) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-07-19 |