| NPI | 1841666328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM KOWALCZYK Pharmacist 716-432-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0202214327) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |