| NPI | 1972074797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FERNANDO Executive Director, Pharmacy 716-845-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |