| NPI | 1821467226 |
|---|---|
| Doing Business As | PHARMACY @ MATTINA |
| Entity Type | Organization |
| Authorized Contact | JOANNE HAEFNER Executive Director 716-875-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033793) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2021-01-28 |