| NPI | 1922768621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLETTE WILSON Vice President Revenue Cycle 716-898-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-03-04 |