| NPI | 1992253611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT HAMED Director Of Pharmacy 716-635-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 90052) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-01-29 |